外傷による巨大水腎症破裂

A case of traumatic rupture of giant hydronephrosis

　患者は39歳，男性。既往歴として高血圧を指摘されていた。交通事故にて腹部打撲し当院救急外来に搬送された。CTにて左腎破裂が疑われ，血圧も低下しており緊急手術を施行した。血腫に覆われた巨大水腎症を認め，左腎摘除術を施行した。術後血圧は正常化した。

A 39-year-old man with hypertension bruised his abdo-men because of traffic accident and was admitted to our hospital. Computerized tomographic examination sug-gested the rupture of left kidney. In spite of sufficient administration of fluid, blood pressure was unstable and lowered, therefore emergency operation was done.Giant hydronephrosis covered with hematoma was found and left nephrectomy was performed. After opera-tion, blood pressure soon became normal.