Njinou Ngninkeu Bertin, Eucher Philippe, Vandenbossche Pierre, Lacrosse Marc, Van Cangh Pol Jacques, Lorge Francis
Service d'Urologie, Cliniques Universitaires Mont-Godinne UCL, 1, avenue G. Therasse, B-5530 Yvoir, Belgique.
Prog Urol. 2002 Jun;12(3):454-8.
The authors report a case of ruptured aneurysm of the renal artery in a 70-year-old man urgently admitted for massive haematuria and shock. As a result of a rapid diagnosis, ex situ resection of the aneurysm was performed with reconstruction of the renal artery pedicle using a vein graft and autologous renal transplantation in the iliac fossa. The patient had a favourable course at one year with normal renal function on laboratory tests and isotope scan. The authors review the literature concerning the epidemiology, classification, clinical features and management of aneurysms of the renal artery.
作者报告了一例70岁男性肾动脉动脉瘤破裂的病例,该患者因大量血尿和休克紧急入院。由于诊断迅速,对动脉瘤进行了异位切除,并使用静脉移植物重建肾动脉蒂,同时在髂窝进行自体肾移植。患者术后一年病情良好,实验室检查和同位素扫描显示肾功能正常。作者回顾了有关肾动脉动脉瘤的流行病学、分类、临床特征及治疗的文献。