关键词: Hydronephrosis Prostate biopsy Ureteric rupture Urinary retention

来  源:   DOI:10.1016/j.eucr.2022.102056   PDF(Pubmed)

Abstract:
Development of bilateral hydronephrosis and ureteric rupture has never been reported in the published literature so far. We describe a case of 51years old gentleman who developed this complication aftertrans-rectal ultrasound guided prostate biopsy. The patient was treated with bilateral double-J stent insertion, intravenous antibiotic therapy and recovered completely. There have been reports of hydronephrosis with or without ureteric rupture in the world literature. The causes reported have been such as malignancy, stones, retroperitoneal fibrosis, iatrogenic manipulation, trauma, degenerative kidney conditions and spontaneous causes. This could lead to development of retroperitoneal urinoma, urosepsis, abscess formation, infection and renal impairment.
摘要:
迄今为止,在已发表的文献中从未报道过双侧肾积水和输尿管破裂的发展。我们描述了一例51岁的绅士,他在经直肠超声引导的前列腺活检后出现了这种并发症。患者接受双侧双J支架置入治疗,静脉注射抗生素治疗并完全恢复。世界文献中已有肾积水伴或不伴输尿管破裂的报道。据报道,原因是恶性肿瘤,石头,腹膜后纤维化,医源性操作,创伤,肾脏退行性疾病和自发原因。这可能导致腹膜后尿路瘤的发展,尿脓毒血症,脓肿形成,感染和肾功能损害。
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