肾内假性动脉瘤的自发消退。

Spontaneous resolution of intrarenal pseudoaneurysm.

作者信息

Ibáñez Pradas V, García Vila J H, Redondo Ibáñez M, Díaz Ramón C

机构信息

Department of Pediatric Surgery Unit and Radiology, Hospital General de Castellón, Avda. Benicàssim s/n, 12004 Castellón, Spain.

出版信息

Eur J Pediatr Surg. 2006 Oct;16(5):362-4. doi: 10.1055/s-2006-924612.

DOI:10.1055/s-2006-924612

PMID:17160785

Abstract

A case of intrarenal pseudoaneurysm after blunt trauma in a 12-year-old girl is reported. Clinical evolution was characterised by gross hematuria and colic pain bouts, and several pseudoaneurysms were confirmed through computerised tomography and Doppler ultrasound. In spite of strict bedrest, hematuric episodes occurred on day 11 and day 21 after admission. The pseudoaneurysms were confirmed by Doppler ultrasound and conservative treatment was rejected. 48 hours later, a therapeutic arteriography was performed, but no pseudoaneurysm could be identified, only an arteriovenous fistula that was embolised with coils. To our knowledge this is the first case of documented spontaneous resolution of intrarenal pseudoaneurysm. This case raises the possibility of continuing conservative treatment even in the presence of an intrarenal pseudoaneurysm.

摘要

报告了一例12岁女孩钝性创伤后肾内假性动脉瘤的病例。临床进展以肉眼血尿和绞痛发作为特征，通过计算机断层扫描和多普勒超声证实了多个假性动脉瘤。尽管严格卧床休息，但入院后第11天和第21天仍发生血尿发作。通过多普勒超声证实了假性动脉瘤，保守治疗被拒绝。48小时后，进行了治疗性动脉造影，但未发现假性动脉瘤，仅发现一处用弹簧圈栓塞的动静脉瘘。据我们所知，这是第一例有记录的肾内假性动脉瘤自发消退的病例。该病例增加了即使存在肾内假性动脉瘤也可继续保守治疗的可能性。