Rotura Espontânea do Trato Urinário Durante a Realização de Tomografia Computorizada
DOI:
https://doi.org/10.24915/aup.35.3-4.59Palavras-chave:
Ruptura Espontânea, Sistema Urinário, Tomografia ComputorizadaResumo
Rotura espontânea do trato urinário é uma entidade rara. Esta provavelmente ocorre devido ao aumento da pressão na via urinária e geralmente está associada a fatores obstrutivos. Nós relatamos o caso de um paciente que apresentou rotura do trato urinário superior durante a realização de tomografia computorizada sem qualquer fator obstrutivo associado. Nós acreditamos que isto aconteceu devido à distensão do sistema urinário em função da infusão de contraste. Nosso caso é interessante devido à etiologia não habitual desta entidade clínica e nos alerta sobre o risco de altas pressões intraluminais durante procedimentos endoscópicos urológicos e exames radiológicos. Além disso, curiosamente o paciente apresentou resolução espontânea sem realização do tratamento sugerido pela literatura, que é a colocação de um catéter duplo J.
Downloads
Não há dados estatísticos.
Referências
1. Zhang H, Zhuang G, Sund D, Deng Z, Zhang J. Spontaneous rupture of the renal pelvis caused by upper urinary tract obstruction. Medicine. 2017;96:e9190. doi: 10.1097/MD.0000000000009190.
2. Yanaral F, Ozkan A, Cilesiz NC, Nuhoglu B. Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature. Urol Ann. 2017;9:293–5. doi:
10.4103/UA.UA_24_17.
3. Zhu X, Li J, Ding F. Two case reports and literature review of spontaneous renal rupture after ureterscope assisted holmium laser lithotripsy. Clin Urol. 2015;3:261–2.
4. Ashebu SD, Elshebiny YH, Dahniya MH. Spontaneous rupture of the renal pelvis. Australas Radiol. 2000;44:125–7.
5. Titton RL, Gervais DA, Hahn PF, Harisinghani MG, Arellano RS, Mueller PR. Urine leaks and urinomas: Diagnosis and imaging-guided intervention. Radiographics. 2003;23:1133–47. doi: 10.1148/rg.235035029
6. Paajanen H, Kettunen J, Tainio H, Jauhiainen K. Spontaneous peripelvic extravasation of urine as a cause of acute abdomen. Scand J Urol Nephrol. 1993;27:333-6.
7. Koga S, Arakaki Y, Matsuoka M, Ohyama C. Spontaneous peripelvic extravasation of urine. Int Urol Nephrol. 1992;24:465-9.
8. El-Boghdadly SA. Spontaneous rupture of the ureter proximal to ureteric stone. J R Soc Med. 1985;78:255-7.
9. Gershman B, Kulkarni N, Sahani DV, Eisner BH. Causes of renal forniceal rupture. BJU Int. 2011;108:1909–11. doi: 10.1111/j.1464-410X.2011.10164.x.
10. Kalafatis P, Zougkas K, Petas A. Primary ureterocopic treatment for obstructive ureteral stone causing fornix rupture. Int J Urol. 2004;11: 1058-64. doi: 10.1111/j.1442-2042.2004.00949.x
11. Sallami S, Ben Rhouma S, Rebai S, Gargouri MM, Horchani A. Spontaneous rupture of the upper urinary tract caused by ureteral calculi: effectiveness of primary ureteroscopic treatment. UroToday Int J. 2009;2: 5784-92.
12. Cooke GM, Bartucz JP. Spontaneous extravasation of contrast medium during intravenous urography - Report of fourteen cases and a review of the literature. Clin Radiol.1974; 25: 87-93.
13. Gokkaya CS, Baykam MM, Yahsı S, Bulut S, Aktas BK, Memı A. Spontaneous fornix rupture due to obstructive ureteral stone. Erciyes Med J. 2014;36:91-3.
14. You JS, Chung YE, Lee JY, Lee HJ, Chung TN, Park YS, et al. The spontaneous rupture of the renal fornix caused by obstructive nephropathy. J Emerg Med. 2012;43:488–9. doi: 10.1016/j.jemermed.2011.06.126.
15. Silverman SG, Leyendecker JR, Amis ES Jr. What is the current role of CT urography and MR urography in the evaluation of the urinary tract? Radiology. 2009;250:309–23. doi: 10.1148/radiol.2502080534.
16. Tan S, Arifoğ lu M, Ipek A, Onen E. Ozturk. H. The importance of gray scale and color Doppler ultrasonography in the diagnosis of spontaneous renal pelvis rupture: case report. Turk J Urol. 2010;36:434-7.
17. Kalafatis P, Zougkas K, Petas A. Primary ureteroscopic treatment for obstructive ureteral stone-causing fornix rupture. Int J Urol. 2004;11:1058–64. doi: 10.1111/j.1442-2042.2004.00949.x.
2. Yanaral F, Ozkan A, Cilesiz NC, Nuhoglu B. Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature. Urol Ann. 2017;9:293–5. doi:
10.4103/UA.UA_24_17.
3. Zhu X, Li J, Ding F. Two case reports and literature review of spontaneous renal rupture after ureterscope assisted holmium laser lithotripsy. Clin Urol. 2015;3:261–2.
4. Ashebu SD, Elshebiny YH, Dahniya MH. Spontaneous rupture of the renal pelvis. Australas Radiol. 2000;44:125–7.
5. Titton RL, Gervais DA, Hahn PF, Harisinghani MG, Arellano RS, Mueller PR. Urine leaks and urinomas: Diagnosis and imaging-guided intervention. Radiographics. 2003;23:1133–47. doi: 10.1148/rg.235035029
6. Paajanen H, Kettunen J, Tainio H, Jauhiainen K. Spontaneous peripelvic extravasation of urine as a cause of acute abdomen. Scand J Urol Nephrol. 1993;27:333-6.
7. Koga S, Arakaki Y, Matsuoka M, Ohyama C. Spontaneous peripelvic extravasation of urine. Int Urol Nephrol. 1992;24:465-9.
8. El-Boghdadly SA. Spontaneous rupture of the ureter proximal to ureteric stone. J R Soc Med. 1985;78:255-7.
9. Gershman B, Kulkarni N, Sahani DV, Eisner BH. Causes of renal forniceal rupture. BJU Int. 2011;108:1909–11. doi: 10.1111/j.1464-410X.2011.10164.x.
10. Kalafatis P, Zougkas K, Petas A. Primary ureterocopic treatment for obstructive ureteral stone causing fornix rupture. Int J Urol. 2004;11: 1058-64. doi: 10.1111/j.1442-2042.2004.00949.x
11. Sallami S, Ben Rhouma S, Rebai S, Gargouri MM, Horchani A. Spontaneous rupture of the upper urinary tract caused by ureteral calculi: effectiveness of primary ureteroscopic treatment. UroToday Int J. 2009;2: 5784-92.
12. Cooke GM, Bartucz JP. Spontaneous extravasation of contrast medium during intravenous urography - Report of fourteen cases and a review of the literature. Clin Radiol.1974; 25: 87-93.
13. Gokkaya CS, Baykam MM, Yahsı S, Bulut S, Aktas BK, Memı A. Spontaneous fornix rupture due to obstructive ureteral stone. Erciyes Med J. 2014;36:91-3.
14. You JS, Chung YE, Lee JY, Lee HJ, Chung TN, Park YS, et al. The spontaneous rupture of the renal fornix caused by obstructive nephropathy. J Emerg Med. 2012;43:488–9. doi: 10.1016/j.jemermed.2011.06.126.
15. Silverman SG, Leyendecker JR, Amis ES Jr. What is the current role of CT urography and MR urography in the evaluation of the urinary tract? Radiology. 2009;250:309–23. doi: 10.1148/radiol.2502080534.
16. Tan S, Arifoğ lu M, Ipek A, Onen E. Ozturk. H. The importance of gray scale and color Doppler ultrasonography in the diagnosis of spontaneous renal pelvis rupture: case report. Turk J Urol. 2010;36:434-7.
17. Kalafatis P, Zougkas K, Petas A. Primary ureteroscopic treatment for obstructive ureteral stone-causing fornix rupture. Int J Urol. 2004;11:1058–64. doi: 10.1111/j.1442-2042.2004.00949.x.
Publicado
2019-01-19
Edição
Secção
Case Report
