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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medecol</journal-id><journal-title-group><journal-title xml:lang="ru">Медицина и экология</journal-title><trans-title-group xml:lang="en"><trans-title>Medicine and ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2305-6045</issn><issn pub-type="epub">2305-6053</issn><publisher><publisher-name>Карагандинский медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">medecol-190</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАБЛЮДЕНИЯ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ СПОНТАННОГО РАЗРЫВА ПОЧКИ НА ФОНЕ ГИДРОНЕФРОЗА</article-title><trans-title-group xml:lang="en"><trans-title>CLINICAL CASE OF SPONTANEOUS RUPTURE OF THE KIDNEY WITH CONCOMITANT HYDRONEPHROSIS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жунусов</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhunusov</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гапкаиров</surname><given-names>Р. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Gapkairov</surname><given-names>R. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хайтенов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khaitenov</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сейiтов</surname><given-names>Д. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Seyitov</surname><given-names>D. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мыржыкбаев</surname><given-names>Б. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Myrzykbayev</surname><given-names>B. R.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нуралы</surname><given-names>Ш. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Nuraiy</surname><given-names>Sh. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хайтенова</surname><given-names>З. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khaitenovtf</surname><given-names>Z. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исаева</surname><given-names>Р. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Isayeva</surname><given-names>R. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Областная клиническая больница г. Караганды<country>Казахстан</country></aff><aff xml:lang="en">Regional Clinical Hospital of the city of Karaganda<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Медицинский университет Караганды<country>Казахстан</country></aff><aff xml:lang="en">Karaganda Medical University<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>07</day><month>09</month><year>2021</year></pub-date><volume>0</volume><issue>2</issue><fpage>111</fpage><lpage>115</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Жунусов С.А., Гапкаиров Р.М., Хайтенов А.А., Сейiтов Д.М., Мыржыкбаев Б.Р., Нуралы Ш.С., Хайтенова З.А., Исаева Р.М., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Жунусов С.А., Гапкаиров Р.М., Хайтенов А.А., Сейiтов Д.М., Мыржыкбаев Б.Р., Нуралы Ш.С., Хайтенова З.А., Исаева Р.М.</copyright-holder><copyright-holder xml:lang="en">Zhunusov S.A., Gapkairov R.M., Khaitenov A.A., Seyitov D.M., Myrzykbayev B.R., Nuraiy S.S., Khaitenovtf Z.A., Isayeva R.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://medecol.qmu.kz/jour/article/view/190">https://medecol.qmu.kz/jour/article/view/190</self-uri><abstract><p>Авторы статьи приводят собственное клиническое наблюдение редкой патологии - спонтанного разрыва почки. На основании комплексного обследования авторам удалось установить диагноз спонтанного разрыва почки и выбрать рациональную тактику лечения. Авторы приходят к выводу о том, что для правильной и своевременной диагностики спонтанного разрыв почки или заболевания, его вызвавшего, требуется применение современных методов исследования. В первую очередь назначаются скрининговые методы - ультразвуковая диагностика, позволяющая быстро и с уверенностью поставить диагноз спонтанного разрыва почки и проводить рациональную тактику лечения. С помощью магнитно-резонансной томографии можно определить давность кровоизлияния, выявить участки свежих кровоизлияний на фоне состоявшегося кровотечения в паранефральную клетчатку, что может определить показания к экстренной операции.</p></abstract><trans-abstract xml:lang="en"><p>The authors of the article cite their own clinical observation of a rare pathology - spontaneous rupture of the kidney. Based on a comprehensive examination, the authors were able to establish a diagnosis of spontaneous kidney rupture and choose a rational treatment tactic. The authors conclude that for the correct and timely diagnosis of spontaneous rupture of a kidney or disease that caused it, the use of modern research methods is required. First of all, screening methods are prescribed - ultrasound diagnostics, which allows you to quickly and with confidence make a diagnosis of spontaneous rupture of the kidney and conduct rational treatment tactics. Using magnetic resonance imaging, you can determine the age of hemorrhage, identify areas of fresh hemorrhage against the background of bleeding into the perinephral tissue, which can determine the indications for emergency surgery.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>спонтанный разрыв почки</kwd><kwd>комплексное обследование</kwd><kwd>рациональная тактика</kwd><kwd>кровотечение</kwd><kwd>диагностика</kwd></kwd-group><kwd-group xml:lang="en"><kwd>spontaneous kidney rupture</kwd><kwd>comprehensive examination</kwd><kwd>rational tactics</kwd><kwd>bleeding</kwd><kwd>diagnosis</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Спонтанный разрыв почки /Ю. Г. Аляев, А. В. Амосов, А. А. Крапивин, Г. Н. Акопян //SonoAce International. - 2006. - №14. -С. 3-6</mixed-citation><mixed-citation xml:lang="en">Спонтанный разрыв почки /Ю. Г. Аляев, А. В. Амосов, А. А. Крапивин, Г. Н. Акопян //SonoAce International. - 2006. - №14. -С. 3-6</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Cinman A. C. Spontaneous perinephric hemorrhage in a 65-year-old man /A. C. Cinman, J. Farrer, J. J. Kaufman //The Journal of Urology. - 1985. - V. 133. - P. 829-832.</mixed-citation><mixed-citation xml:lang="en">Cinman A. C. Spontaneous perinephric hemorrhage in a 65-year-old man /A. C. Cinman, J. Farrer, J. J. Kaufman //The Journal of Urology. - 1985. - V. 133. - P. 829-832.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Henline R. B. Spontaneous rupture of kidney //Journal of the American Medical Association - 1924. - №83. - P. 1411.</mixed-citation><mixed-citation xml:lang="en">Henline R. B. Spontaneous rupture of kidney //Journal of the American Medical Association - 1924. - №83. - P. 1411.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">McDougal W. S. Spontaneous rupture of the kidney with perirenal hematoma /W. S. McDougal, E. D. Kursh, L. Persky //The Journal of Urology. - 1975. - V. 114. - Pp. 181-184.</mixed-citation><mixed-citation xml:lang="en">McDougal W. S. Spontaneous rupture of the kidney with perirenal hematoma /W. S. McDougal, E. D. Kursh, L. Persky //The Journal of Urology. - 1975. - V. 114. - Pp. 181-184.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Polkey H. J. Spontaneous notraumaticperirenal and renal hematomas. An experimental and clinical study /H. J. Polkey, W. J. Vynalek //Arch. Sur. - 1933. - V. - Pp. 196-202.</mixed-citation><mixed-citation xml:lang="en">Polkey H. J. Spontaneous notraumaticperirenal and renal hematomas. An experimental and clinical study /H. J. Polkey, W. J. Vynalek //Arch. Sur. - 1933. - V. - Pp. 196-202.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Renander A. Another case of spontaneous rupture of renal pelvis //ActaRadiologica. -1941. - V. 22. - P. 422.</mixed-citation><mixed-citation xml:lang="en">Renander A. Another case of spontaneous rupture of renal pelvis //ActaRadiologica. -1941. - V. 22. - P. 422.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Shaw R. E. Spontaneous rupture of the kidney //British Journal of Surgery. - 1957. - V. 45. - Pp. 68-72.</mixed-citation><mixed-citation xml:lang="en">Shaw R. E. Spontaneous rupture of the kidney //British Journal of Surgery. - 1957. - V. 45. - Pp. 68-72.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Spontaneous perirenal hemorrhage: a 10-year experience at our institution /G. Daska-lopulos, I. Karyotis, I. Heretis et al. // International Urology and Nephrology. - 2003. -V. 36. - Pp. 15-19.</mixed-citation><mixed-citation xml:lang="en">Spontaneous perirenal hemorrhage: a 10-year experience at our institution /G. Daska-lopulos, I. Karyotis, I. Heretis et al. // International Urology and Nephrology. - 2003. -V. 36. - Pp. 15-19.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Spontaneous rupture of the renal pelvis caused by upper urinary tract obstruction: A case report and review of the literature /H. Zhang, G. Zhuang, D. Sun //Medicine (Baltimore). - 2017. -V. 96. - P. 50.</mixed-citation><mixed-citation xml:lang="en">Spontaneous rupture of the renal pelvis caused by upper urinary tract obstruction: A case report and review of the literature /H. Zhang, G. Zhuang, D. Sun //Medicine (Baltimore). - 2017. -V. 96. - P. 50.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang J. Q. Etiology of spontaneous perirenal hemorrhage: a meta-analysis /J. Q. Zhang, J. R. Fielding, K. H. Zou //The Journal of Urology. - 2002. - V. 167. - Pp. 1593-1596.</mixed-citation><mixed-citation xml:lang="en">Zhang J. Q. Etiology of spontaneous perirenal hemorrhage: a meta-analysis /J. Q. Zhang, J. R. Fielding, K. H. Zou //The Journal of Urology. - 2002. - V. 167. - Pp. 1593-1596.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
