Planer D, Verstandig A, Chajek-Shaul T
Department of Medicine, Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.
Vasc Med. 2001;6(2):109-12.
A 20-year-old man with Behçet's disease presented with a ruptured renal artery aneurysm. This patient had previously had aneurysms of the coronary arteries and coronary vein thrombosis that were treated with immunosuppression. A selective transcatheter embolization of the renal artery branch was done successfully and treatment with corticosteroids and methotrexate was added. Presented here is a rare complication of Behçet's disease, with discussion on the pathophysiology, differential diagnosis, and the advantages and disadvantages of the angiographic treatment. This paper is supplemented with a comprehensive review of the literature.
一名患有白塞病的20岁男性出现肾动脉动脉瘤破裂。该患者此前曾有冠状动脉瘤和冠状静脉血栓形成,接受过免疫抑制治疗。成功进行了肾动脉分支的选择性经导管栓塞,并加用了皮质类固醇和甲氨蝶呤治疗。本文介绍了白塞病一种罕见的并发症,并讨论了其病理生理学、鉴别诊断以及血管造影治疗的优缺点。本文还补充了对相关文献的全面综述。