Kang Mandeep, Khandelwal N, Lal Anupam, Singhal Manphool, Mete Uttam, Mandal A K
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Abdom Imaging. 2007 Nov;32(6):772-4. doi: 10.1007/s00261-007-9183-7. Epub 2007 Feb 7.
Renal angiomyolipomas are fat containing tumours, which are associated with a strong risk of hemorrhage due to the presence of abnormal vessels and pseudoaneurysms. We present three cases of ruptured renal angiomyolipomas with multiple or large pseudoaneurysms diagnosed by CT angiography which enabled emergent endovascular intervention; and propose CT angiography as the diagnostic modality of choice, particularly in emergency situations.
肾血管平滑肌脂肪瘤是含有脂肪的肿瘤,由于存在异常血管和假性动脉瘤,其出血风险很高。我们报告了3例经CT血管造影诊断为伴有多个或大的假性动脉瘤的破裂肾血管平滑肌脂肪瘤病例,这使得能够进行紧急血管内介入治疗;并提出CT血管造影作为首选的诊断方式,尤其是在紧急情况下。