Kanda Hideki, Kanai Masahiro, Araki Tomio, Mori Osamu
Department of Urology, Saiseikai Matusaka General Hospital.
Hinyokika Kiyo. 2003 Jun;49(6):325-8.
A case report of a patient with renal arteriovenous malformation associated with horseshoe kidney detected by hemorrhage due to injury. A 71-year-old man was injured in a traffic accident and conveyed to our hospital. The computed tomographic scan showed renal injury of the horseshoe kidney with retroperitonial hemorrhage. We treated him conservatively, but he complained of abdominal fullness and went into hemorrhagic shock. So, we performed arterial angiography. It showed a right renal arteriovenous malformation from which leakage of contrast medium was detected. Hemostasis was possible by embolization of the abnormal artery. He has not had any recurrence of renal arteriovenous malformation. To our knowledge, this case is the third report of renal arteriovenous malformation associated with horseshoe kidney in Japan.
一例因损伤出血而检出的马蹄肾合并肾动静脉畸形患者的病例报告。一名71岁男性在交通事故中受伤，被送至我院。计算机断层扫描显示马蹄肾肾损伤伴腹膜后出血。我们对他进行了保守治疗，但他主诉腹部胀满并陷入失血性休克。因此，我们进行了动脉血管造影。结果显示右肾动静脉畸形，检测到造影剂渗漏。通过栓塞异常动脉实现了止血。他的肾动静脉畸形未出现任何复发情况。据我们所知，该病例是日本第三例马蹄肾合并肾动静脉畸形的报告。
