CALYCEAL FORNIX RUPTURE OF ΤΗΕ KIDNEY
Abstract
Sinus reflux is very probably an extreme form of pelvic backflow with rupture of the fornix and resultant retroperitoneal urinary extravasation. Overloading (iatrogenic mainly) of the lymphatic and venous system of the kidney caused by excessive pressure is usually implicated, affecting the renal parenchyma, of the renal sinus and Gerotas' fascia. Most cases of the latter variety are caused by acute colculous, ureteral obstruction and observed during intravenous pyelogram with abdominal compression. Aetiology and diagnostic procedure of calyceal fornix rupture during intravenous urography are discussed.References
Breun Η, Csapo Ζ, Sigel Α: Fornix-Ruptur - Uberprufung der Pathophysiologie und der Klinik. Urologe Α 1989: 28: 329-33.
Fabricius P-G.: Differential diagnostische Probleme der spontanen Fornixruptur. Ζ Urol Nephrol Bd 1980: 73: 23-29.
Oesterwitz Η., Bick C., Hengst Ε.: Spontaneous ruptur of the kidney pelvis valix system-causes, diagnosis and therapy. Ζ Urol Nephrol 1983: 76-3: 151-57.
Traumann G., Holsten DR, Bernot G.: Extravasation from fornix ruptur during infusion urography. Rofo 1972: 117-4: 429-33.
Bischopf W.: Acutes Abdomen - Spontane Fornixruptur. Zentral Chir 1976: 101- 23: 1447-51.
Tosch U., Becker-Gaab Ch, Hahn D. Contrast Medium Extravasation in Intravenous Urography. Digitale Bildding 1984: 4: 112-17.
