Bunchman T E, Walker H S, Joyce P F, Danter M E, Silberstein M J
Division of Pediatric Nephrology, Surgery and Radiology, Cardinal Glennon Children's Hospital, St. Louis University, Missouri.
Pediatr Radiol. 1991;21(4):312-3. doi: 10.1007/BF02018637.
We report a child presenting with renovascular hypertension and sonographic evidence of a renal artery aneurysm (RAA). The diagnosis of RAA was made sonographically by demonstrating vascular flow in an aneurysmal segment adjacent to but continuous with the right renal artery and externally compressing the inferior vena cava. Comparison of the sonographic studies and an abdominal angiogram illustrate the sensitivity of sonography in diagnosing this condition. We suggest that with renal doppler sonography, RAA may be diagnosed less invasively and possibly with greater frequency yet believe that the gold standard of angiography is necessary prior to surgical intervention.
我们报告了一名患有肾血管性高血压且有肾动脉动脉瘤（RAA）超声证据的儿童。通过显示与右肾动脉相邻但连续的动脉瘤段内的血管血流并向外压迫下腔静脉，超声诊断为RAA。超声检查与腹部血管造影的比较说明了超声在诊断这种疾病方面的敏感性。我们认为，通过肾脏多普勒超声检查，RAA的诊断可能侵入性较小，且频率可能更高，但我们认为在手术干预之前，血管造影的金标准是必要的。
