Bonamigo Telmo Pedro, Erling Nilon, Faccini Felipe Puricelli
Vascular Surgery Department, Fundação Faculdade Federal de Ciências Médicas de Porto Alegre (FFFCMPA), Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Rua Coronel Bordini 675/303, CEP: 90440-001, RS, Brazil.
Surg Today. 2002;32(8):753-5. doi: 10.1007/s005950200143.
This paper reports a patient who was successfully treated for a ruptured renal artery aneurysm. A 64-year-old man presented with sudden onset of strong abdominal and lumbar pain, and a 2-week history of abdominal discomfort. Abdominal computed tomography and visceral arteriography revealed a retroperitoneal hematoma and a 7.5-cm saccular renal aneurysm with active bleeding. A laparotomy was indicated, and a nephrectomy was performed due to the persistent bleeding and refractory hypotension presented during surgery. The postoperative course was uneventful, and the patient was discharged with a normal renal function on the tenth day. This paper presents the successful management of a ruptured renal aneurysm with a review of the literature, and the management possibilities of such patients is also discussed.
本文报道了一名成功治疗肾动脉动脉瘤破裂的患者。一名64岁男性突发剧烈腹痛和腰痛，并伴有2周的腹部不适病史。腹部计算机断层扫描和内脏动脉造影显示腹膜后血肿以及一个7.5厘米的囊状肾动脉瘤伴活动性出血。鉴于手术中持续出血和顽固性低血压，遂行剖腹探查术并进行了肾切除术。术后过程顺利，患者于第十天肾功能正常出院。本文介绍了肾动脉瘤破裂的成功治疗方法并回顾了相关文献，同时也讨论了此类患者的治疗可能性。
