HYDRONEPHROSIS OF UNCLEAR ETIOLOGY WITH SYMPTOMS OF ACUTE ABDOMEN – CASE REPORT

Andrzej Żyluk

Abstract


We report a case of a patient whose clinical status and results of a plain chest X-ray showed digestive tract perforation, but in whom the true cause of the disease appeared to be hydronephrosis, probably caused by a tumour of the pyelo-ureteral junction. The course of the diagnostic process and causes of the false diagnosis and unnecessary laparotomy are discussed. The usefulness of computed tomography scanning with contrast in the detection of clinically unlcear abdominal disorders (i.e. radiologically “silent” perforation) is emphasised.


Keywords


acute abdomen; diagnostics; hydronephrosis; computed tomography

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References


Schein M.: Ostry brzuch. In: Zdrowy rozsądek w chirurgii ostrego brzucha. Eds: M. Schein, P.N. Rogers, A. Assalia. Med Media, Warszawa 2013, 15–22.

Paduszyńska K., Celnik A., Pomorski L.: Patients subject to surgery due to acute abdominal disorders during the period between 2001–2004. Pol Przegl Chir. 2012, 84 (10), 488–494.

Schein M.: Przedziurawienie wrzodu trawiennego. In: Zdrowy rozsądek w chirurgii ostrego brzucha. Eds: M. Schein, P.N. Rogers, A. Assalia. Med Media, Warszawa 2013, 141–149.

Talanow R.: An unusual manifestation of acute appendicitis with left flank pain. J Radiol Case Rep. 2008, 2 (1), 8–11.

Baniel J.: Nagłe zachorowania urologiczne. In: Zdrowy rozsądek w chirurgii ostrego brzucha. Eds: M. Schein, P.N. Rogers, A. Assalia. Med Media, Warszawa 2013, 31–320.

Systermans B.J., Devitt P.G.: Computed tomography in acute abdominal pain: an overused investigation? ANZ J Surg. 2014, 84 (3), 155–159.

Jeffrey R.B., Federle M.P., Wall S.: Value of computed tomography in detecting occult gastrointestinal perforation. J Comput Assist Tomogr. 1983, 7 (5), 825–827.

Mazzei M.A., Guerrini S., Cioffi Squitieri N., Cagini L., Macarini L., Coppolino F. et al.: The role of US examination in the management of acute abdomen. Crit Ultrasound J. 2013, 5 (Suppl 1), 6.

Solis C.V., Chang Y., De Moya M.A., Velmahos G.C., Fagenholz P.J.: Free air on plain film: Do we need a computed tomography too? J Emerg Trauma Shock. 2014, 7 (1), 3–8.




DOI: https://doi.org/10.21164/pomjlifesci.49

Copyright (c) 2016 Andrzej Żyluk

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/