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|a 10.14989/ActaUrolJap_67_4_141
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|a Takahashi, Toshifumi
|e verfasserin
|4 aut
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|a Two Cases of Renal Pelvic Rupture Due to Trauma in a Patient with Ureteropelvic Junction Stenosis
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|c 2021
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|a Date Completed 11.06.2021
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|a published: Print
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|a A pathologic kidney with hydronephrosis is prone to rupture after minor trauma to the renal pelvis ; however, it is controversial whether drainage, such as nephrostomy and ureteral stenting, should be performed in this setting. Herein we report traumatic rupture of the renal pelvis in 2 patients with ureteropelvic junction stenosis at two centers. Case 1 : A 15-year-old boy sustained a blunt injury on his left back while playing football. His family physician referred the patient to our hospital for suspected left renal injury. Contrast-enhanced abdominal computed tomography showed left hydronephrosis and fluid accumulation in the left retroperitoneal space, which led to a diagnosis of rupture of the left renal pelvis. The patient was treated conservatively ; however, fluid accumulation around the kidney worsened. A ureteral stent was placed, and the patient's renal colic and imaging findings improved. Case 2 : A 13-yearold boy fell and bruised his abdomen while playing soccer. He was unable to walk because of pain, and was brought to our hospital by ambulance. Contrast-enhanced abdominal computed tomography showed left hydronephrosis and fluid accumulation in the left retroperitoneal space, which led to a diagnosis of rupture of the left renal pelvis. A ureteral stent was placed on the same day, and the patient's renal colic improved
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|a Araki, Hiromasa
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|a Ito, Katsuhiro
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|a Kanno, Toru
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|a Somiya, Shinya
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|a Okuno, Hiroshi
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|a Yamada, Hitoshi
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|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 67(2021), 4 vom: 20. Apr., Seite 141-145
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