Rupture Of Pelvis Research Articles

Rupture of the renal pelvis associated with intravenous fluid bolus

Previously reported cases of spontaneous rupture of the kidney or ureter reflect underlying renal pathology and have been reported both spontaneously and in relationship to delivery, but not in relationto other operative procedures. A 27-year-old woman at 19 weeks' gestation developed severe right flank pain in the operating room immediately prior to cerclage placement. Postoperative renal ultrasoundexamination and intravenous pyelogram performed to evaluate persistent flank pain demonstrated renal pelvis rupture. No other renal abnormality was present. We postulated that increased urine flow fromthe fluid bolus for the spinal anesthetic precipitated the rupture.

Dynamic graciloplasty in children with fecal incontinence: A preliminary report

Background: Various therapeutic methods have been developed for anal incontinence. A reconstruction of the sphincter system with functional adaption can be achieved by stimulation of the transposed gracilis muscle with an implanted stimulator. Methods: The authors performed a dynamic graciloplasty in 4 boys, aged between 6 and 10 years. Causes for the incontinence were polytrauma with pelvic rupture, VACTERL syndrome with rectal urethral fistula, anal atresia with primary reconstruction and 6 consecutive operations, and coccygeal teratoma in a premature infant with surgical treatment of the recurrent tumour. All children had grade III incontinence. Postoperatively, the duration of stimulation was increased successively by telemetric programming of the pulse generator up to a continuous mode. Results: One child is now almost continent, 2 show grade I incontinence, 1 is incontinent with frequent soiling (the programming has not been completed yet). Conclusion: An evaluation of this method for children will not be possible until more operations have been performed, under the conditions of a prospective study, which appears indicated in view of the preliminary but encouraging results presented. J Pediatr Surg 36:1036-1039. Copyright © 2001 by W.B. Saunders Company.

Free Intraperitoneal Rupture of Hydronephrotic Kidney

Occult hydronephrosis may commonly manifest symptoms following even minor blunt trauma. The usual presentation is pain and gross hematuria. However pelvic or caliceal rupture can occur with extravasation into the retroperitoneum. Under extremely rare circumstances free intraperitoneal rupture occurs and may present as an acute abdomen. CASE REPORT A 64-year-old Asian woman fell on the right side. She was evaluated elsewhere and noted to be alert, oriented, hypertensive and hemodynamically stable. She had a history of hypertension but was taking no medications. She denied any other medical or surgical history. Examination was significant for abdominal tenderness and guarding. Abdominal computerized tomography (CT) (no contrast medium reported) demonstrated injuries consistent with traumatic renal fracture. At transfer to our institution the patient was in significant distress secondary to diffuse abdominal pain. Blood pressure was 190/100 mm. Hg with heart rate of 90 to 100 per minute. Mild contusions involved the right hand, forearm and flank. The abdomen was somewhat distended with marked diffuse tenderness, worse on the right than the leR side. Involuntary guarding was consistent with peritoneal irritation and the right costovertebral angle was moderately tender. Rectal examination revealed guaiac positive stool but the remainder of the cardiac, pulmonary, vascular and neurological examination was normal. Urine was grossly clear. Laboratory values included white blood count 20 x 103/pl. (normal 4.3 to 10.81, hematocrit 40% (normal 37 to 48), normal electrolytes, creatinine 1.2 mg./dl. (normal 0.6 to 1.51, and urinalysis 3 to 5 red and 0 to 2 white blood cells per high power field. Chest x-ray demonstrated clear lungs and mild cardiomegaly without pneumothorax or rib fracture. Review of the unenhanced CT demonstrated a heterogeneous fluid density filling a large multicystic structure in the right retroperitoneum. Normal kidney parenchyma was not identified. The examination was rzpeated with intravenous contrast medium using a standard helical CT trauma protocol. Findings were notable for a multicystic structure with thin peripheral enhancement and heterogeneous density in some areas suggestive of hemorrhage (part A of figure). In a lower cut a 1.5 cm. calcification was noted just inferior to the

Renal Pelvis Rupture after Blunt Abdominal Trauma

A 45-year-old male patient presented with rupture of the left renal pelvis after blunt abdominal trauma. The patient had preexisting bilateral megaureters with secondary obstruction of the pyeloureteral junction. The underlying disease was a persisting type III posterior urethral valve. Diagnosis of renal pelvis rupture and the underlying malformation was achieved sonographically and by abdominal CT scan. The left kidney was exposed at the time of admission and a pyeloplasty according to Anderson-Hynes was carried out. Secondarily the urethral valve was resected.

Computed tomography diagnosis of traumatic rupture of congenital hydronephrotic renal pelvis

Computed tomography (CT) permitted preoperative diagnosis of traumatic rupture of a congenital hydronephrotic renal pelvis. In cases in which renal pelvic rupture is suspected CT may obviate traditional cystoscopy and retrograde pyelography.

直腸癌術後に発症した腎う自然破裂の１例 術前放射線療法が原因と考えられた症例

直腸癌術後に発症した腎う自然破裂の１例 術前放射線療法が原因と考えられた症例

Spontaneous rupture of hydronephrotic renal pelvis with massive hemorrhage

Spontaneous rupture of a hydronephrotic renal pelvis with massive hemorrhage presents as a perplexing diagnostic challenge to the urologist. The preoperative distinction between this condition and spontaneous rupture of the kidney (Wunderlich disease) may prove uncertain or equivocal despite the application of exhaustive diagnostic modalities. Surgical intervention should follow initial stabilization, and nephrectomy has been the procedure of choice.

Spontaneous Rupture of Renal Pelvis during Postobstructive Diuresis

A case of spontaneous rupture of the renal pelvis during postobstructive diuresis following spontaneous relief of anuria in a patient with postpyelolithotomy retroperitoneal fibrosis, is described. The unusual etiopathological setting which predisposed to the occurrence of such a rare phenomenon and its treatment implications are discussed.

Rupture of the Pelvis

Rupture of the Pelvis