Research Article
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Spontaneous Renal Rupture and Extravasation During Urography

Year 1980, Volume: 33 Issue: 3 , 483 - 490 , 30.09.1980
https://izlik.org/JA86TL78AS

Abstract

4 cases with spontaneous fornix ruptures and extravasate formations were reported. The mechanism of origin and the urographic picture of the pyelo-renal reflux types to be distinguished in acute urinary tract obstructions have been described. The non-complicated reflux and extravasation are harmless and do not require surgical therapy. In terms of differential diagnosis, first of all, calyx tuberculosis and papillary necrosis should be distinguished. An inconspicuous control urogram after 2 days is typical for extravasation. Peripelvinea and periureteral fibrosations have been described as later consequences of extravasate formation. They are also thought to play a role in the pathogenesis of fibrolipomatosis and liposclerosis. For X-ray diagnostics in acute obstruction of the urinary tract, it is necessary to refrain from ciner infusion urography and from applying compression.

References

  • 1. Albrecht KF : Spontaner Kontrastmittelaustritt ins pararenale Gewebe beim Urogramq13. Tagung der Nordrhein-Westfae11ischen Geselschaft für Urologie 1967, Z Urol 60 : 870, 1967.
  • 2. Bischoff W : Spontane Nirenbeckenkelchrupturen. Aetiologie, Klinik, Therapie, Münch med Wschr 118 :1525, 1967.
  • 3. Brijs A :Exltravasete bei intravenöser Urographie, Fortschr Röntgenstr 109 : 375, 1968
  • 4. Dallenbach FD : Über Harnaustritte und Harnniederschlaege im Nierenhilus, Arch Path Anat 330 : 498, 1957
  • 5. Dathe G, Kollath J : Kontrastmittelaustritt bei gezielter und ungezielter Pyelographie, Radiologe 11 : 226, 1971
  • 6. Fischer E : Pyelosinöser Reflux bei Ausscheidungsrurographie, Fortschr Röntgenstr108 : 40, 1968
  • 7. Franken Th, Brühl P : Zum Pyelo-renalen Reflux bei urographischen Diagnostik akuter Harnwegsobstuktionen, Therapiewoche 28 : 2098, 1978
  • 8. Harrow BR : Spontaneous extravasation associated with renal colic causing a peripelvic abscess, Amer J Roentgenol, 98 : 47, 1966
  • 9. Helmke K : Mikroskopische Befunde bei pyelovenösem Reflux, Ver dtsch path Ges, 298, 1937
  • 10. Hinman F ,Lee-Brown L K : Pyelovenous backflow, J Amer med Aîß 82 : 607, 1924
  • 11. Hinman Jr F : Peripelvic extravasation during intravenous urography. evidence for an additional route for backflow after ureteral obstruction, J Urol 85 : 385, 1961
  • 12. Jungmann K : Der pyelo-intertitielle Reflux, Urol inter 23 : 289, 1968
  • 13. Kiil F : Renal pelvis and ureter, Univ Press Osla 1957
  • 14. Köhler R : Investigation in retrograde pyelography, a roentgenological and clinical study, Acta radiol Supp. 99 : 46, 1953
  • 15. Leisinger HJ, ve ark : Spontanrupturen des Nirenbecken-Kelch-Systems bei der Ausscheidungsurographie, Schweiz med Wschr 104 : 1641, 1974
  • 16. Marquardt H, Hammati A, Krüger J : Fornixrupturen bei der Ausscheidungsurographie, Fortschr Röntgenstr 115 : 233, 1971
  • 17. Melchior H, Therhorst B : Uroloéische Komplikationen der Infusionsurographie, akt Urol 4 : 99, 1973
  • 18. Minder J : Experimentelle und klinische Beitraegd zur Frage des pyelovenösen Refluxes und seine klinische Bedeutung, Z urol Chir 30 : 404, 1930
  • 19. Narath PA : Extrarenal extravasation observed in the course of intravenous urography, J Urol 39 : 65, 1938
  • 20 Olsson O : Stadiea on backflow in excretion urography, Acta radiol Suppl, 70 : 1, 1948
  • 21. Olsson O : Roentgen examination of the kidney and the ureter. O. Backflow, Handbuch der Urologie Bd. V/ 1 Springer, Berlin-Göttingen41eidelberg, 265, 1962
  • 22. Rabinowitz GJ, Keller RJ, Wolf BS : Benign peripelvic extravasation associated with renal èolic, Radiology 86 : 220, 1967
  • 23. Traumann G, Holsten DR; Bernd G : Extravasatbildung nanch Fornixrupturen bei der Infusionsurographie, Fortschr Röntgenstr 117 : 429, 1972
  • 24. Ulrich HJ : Ein Beitrag über Reflux-und Extravasatbildungen bei antegrader und retrograder Pyelographie, Z urol 62 : 573, 1969

Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon

Year 1980, Volume: 33 Issue: 3 , 483 - 490 , 30.09.1980
https://izlik.org/JA86TL78AS

Abstract

Spontan forniks rüptürü ve ekstravazasyonla sonuçlanan 4 olgu bildirilmiştir. Akut üriner sistem obstrüksiyonlarında ayırt edilmesi gereken piyelo-renal reflü tiplerinin orijin mekanizması ve ürografik görünümü tarif edilmiştir. Komplike olmayan reflü ve ekstravazasyon zararsızdır ve cerrahi tedavi gerektirmez. Ayırıcı tanıda, öncelikle kaliks tüberkülozu ve papiller nekrozdan ayırt edilmelidir. Ekstravazasyonda tipik olarak 2 gün sonra kontrol grafisinde belirgin olmayan bir sızıntı görülür. Peripelvinea ve periüreteral fibrozis ekstravazat oluşumunun geç dönem sonuçları olarak tanımlanmıştır. Ayrıca fibrolipomatozis ve liposklerozun patogenezinde rol oynadıkları düşünülmektedir. Akut idrar yolu tıkanıklığında röntgenle tanı için, sintigrafi ve kompresyondan kaçınmak gerekir.

References

  • 1. Albrecht KF : Spontaner Kontrastmittelaustritt ins pararenale Gewebe beim Urogramq13. Tagung der Nordrhein-Westfae11ischen Geselschaft für Urologie 1967, Z Urol 60 : 870, 1967.
  • 2. Bischoff W : Spontane Nirenbeckenkelchrupturen. Aetiologie, Klinik, Therapie, Münch med Wschr 118 :1525, 1967.
  • 3. Brijs A :Exltravasete bei intravenöser Urographie, Fortschr Röntgenstr 109 : 375, 1968
  • 4. Dallenbach FD : Über Harnaustritte und Harnniederschlaege im Nierenhilus, Arch Path Anat 330 : 498, 1957
  • 5. Dathe G, Kollath J : Kontrastmittelaustritt bei gezielter und ungezielter Pyelographie, Radiologe 11 : 226, 1971
  • 6. Fischer E : Pyelosinöser Reflux bei Ausscheidungsrurographie, Fortschr Röntgenstr108 : 40, 1968
  • 7. Franken Th, Brühl P : Zum Pyelo-renalen Reflux bei urographischen Diagnostik akuter Harnwegsobstuktionen, Therapiewoche 28 : 2098, 1978
  • 8. Harrow BR : Spontaneous extravasation associated with renal colic causing a peripelvic abscess, Amer J Roentgenol, 98 : 47, 1966
  • 9. Helmke K : Mikroskopische Befunde bei pyelovenösem Reflux, Ver dtsch path Ges, 298, 1937
  • 10. Hinman F ,Lee-Brown L K : Pyelovenous backflow, J Amer med Aîß 82 : 607, 1924
  • 11. Hinman Jr F : Peripelvic extravasation during intravenous urography. evidence for an additional route for backflow after ureteral obstruction, J Urol 85 : 385, 1961
  • 12. Jungmann K : Der pyelo-intertitielle Reflux, Urol inter 23 : 289, 1968
  • 13. Kiil F : Renal pelvis and ureter, Univ Press Osla 1957
  • 14. Köhler R : Investigation in retrograde pyelography, a roentgenological and clinical study, Acta radiol Supp. 99 : 46, 1953
  • 15. Leisinger HJ, ve ark : Spontanrupturen des Nirenbecken-Kelch-Systems bei der Ausscheidungsurographie, Schweiz med Wschr 104 : 1641, 1974
  • 16. Marquardt H, Hammati A, Krüger J : Fornixrupturen bei der Ausscheidungsurographie, Fortschr Röntgenstr 115 : 233, 1971
  • 17. Melchior H, Therhorst B : Uroloéische Komplikationen der Infusionsurographie, akt Urol 4 : 99, 1973
  • 18. Minder J : Experimentelle und klinische Beitraegd zur Frage des pyelovenösen Refluxes und seine klinische Bedeutung, Z urol Chir 30 : 404, 1930
  • 19. Narath PA : Extrarenal extravasation observed in the course of intravenous urography, J Urol 39 : 65, 1938
  • 20 Olsson O : Stadiea on backflow in excretion urography, Acta radiol Suppl, 70 : 1, 1948
  • 21. Olsson O : Roentgen examination of the kidney and the ureter. O. Backflow, Handbuch der Urologie Bd. V/ 1 Springer, Berlin-Göttingen41eidelberg, 265, 1962
  • 22. Rabinowitz GJ, Keller RJ, Wolf BS : Benign peripelvic extravasation associated with renal èolic, Radiology 86 : 220, 1967
  • 23. Traumann G, Holsten DR; Bernd G : Extravasatbildung nanch Fornixrupturen bei der Infusionsurographie, Fortschr Röntgenstr 117 : 429, 1972
  • 24. Ulrich HJ : Ein Beitrag über Reflux-und Extravasatbildungen bei antegrader und retrograder Pyelographie, Z urol 62 : 573, 1969
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Urology
Journal Section Research Article
Authors

Şevket Tuncer This is me

Publication Date September 30, 1980
IZ https://izlik.org/JA86TL78AS
Published in Issue Year 1980 Volume: 33 Issue: 3

Cite

APA Tuncer, Ş. (1980). Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 33(3), 483-490. https://izlik.org/JA86TL78AS
AMA 1.Tuncer Ş. Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1980;33(3):483-490. https://izlik.org/JA86TL78AS
Chicago Tuncer, Şevket. 1980. “Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 33 (3): 483-90. https://izlik.org/JA86TL78AS.
EndNote Tuncer Ş (September 1, 1980) Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon. Ankara Üniversitesi Tıp Fakültesi Mecmuası 33 3 483–490.
IEEE [1]Ş. Tuncer, “Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 33, no. 3, pp. 483–490, Sept. 1980, [Online]. Available: https://izlik.org/JA86TL78AS
ISNAD Tuncer, Şevket. “Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 33/3 (September 1, 1980): 483-490. https://izlik.org/JA86TL78AS.
JAMA 1.Tuncer Ş. Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1980;33:483–490.
MLA Tuncer, Şevket. “Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 33, no. 3, Sept. 1980, pp. 483-90, https://izlik.org/JA86TL78AS.
Vancouver 1.Şevket Tuncer. Ürografi Esnasında Spontan Böbrek Rüptürü Ve Ekstravanazasyon. Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 1980 Sep. 1;33(3):483-90. Available from: https://izlik.org/JA86TL78AS