Iguchi Seitaro, Alchi Bassam, Asakawa Katsuaki, Izumi Daisuke, Kashimura Takeshi, Ueno Mitsuhiro, Safar Farah, Nishi Shinichi, Narita Ichiei, Gejyo Fumitake
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan.
Hypertens Res. 2007 Mar;30(3):279-83. doi: 10.1291/hypres.30.279.
We describe the case of a 44-year-old woman who presented with renovascular hypertension caused by primary leiomyosarcoma of the abdominal aorta that had metastasized into the renal arteries. Despite an extensive radiological evaluation, the diagnosis was mistaken first for Takayasu's arteritis and then for retroperitoneal hematoma or neoplasm. The patient developed renal failure due to bilateral renal infarction, and died 3 months after her initial presentation with ischemic colitis. Postmortem examination confirmed the diagnosis.
我们报告了一例44岁女性患者，其因腹主动脉原发性平滑肌肉瘤转移至肾动脉而导致肾血管性高血压。尽管进行了全面的影像学评估，但诊断首先被误诊为高安动脉炎，随后又被误诊为腹膜后血肿或肿瘤。患者因双侧肾梗死发展为肾衰竭，并在首次出现缺血性结肠炎3个月后死亡。尸检证实了诊断。
