Negoro Hiromitsu, Kawakita Mutsushi, Koda Yoichi
Department of Urology, Kobe City General Hospital, Hyogo, Japan.
Int J Urol. 2005 Jul;12(7):683-5. doi: 10.1111/j.1442-2042.2005.01130.x.
Renal artery pseudoaneurysms are a well-documented complication following trauma or percutaneous urological procedures, but are rare after partial nephrectomy. We present the case of a 34-year-old woman who, after undergoing a left nephrectomy in childhood due to Wilms' tumor, had a pseudoaneurysm in a solitary kidney after laparoscopic right partial nephrectomy with extraperitoneal approach for a renal cell carcinoma. The segmental renal artery feeding the pseudoaneurysm was embolized with coils without significant loss of residual renal function.
肾动脉假性动脉瘤是创伤或经皮泌尿外科手术后有充分记录的并发症，但在肾部分切除术后罕见。我们报告一例34岁女性病例，该患者童年时因肾母细胞瘤接受了左肾切除术，之后因肾细胞癌采用腹膜外入路行腹腔镜右肾部分切除术后，在孤立肾中出现了假性动脉瘤。向假性动脉瘤供血的节段性肾动脉用弹簧圈进行了栓塞，残余肾功能无明显丧失。
