Medda Massimo, Picozzi Stefano Cm, Bozzini Giorgio, Carmignani Luca
Urology Department, IRCCS Policlinico San Donato, University of Milan, San Donato Milanese, Milan, Italy.
J Emerg Trauma Shock. 2009 Sep;2(3):203-5. doi: 10.4103/0974-2700.55346.
We report a case of Wunderlich's syndrome in an obese woman associated with massive retroperitoneal hemorrhage. Stable hemodynamic patient condition was obtained by selective arterial embolization. Since the first embolization of a renal angiomyolipoma in 1976 by Moorhead et al., highly selective renal arterial embolization of angiomyolipoma with rupture has become a procedure that offers greater efficacy, particularly in life-threatening cases.
我们报告一例肥胖女性的肾血管平滑肌脂肪瘤破裂综合征伴大量腹膜后出血。通过选择性动脉栓塞使患者血流动力学状况稳定。自1976年Moorhead等人首次对肾血管平滑肌脂肪瘤进行栓塞以来,对破裂的肾血管平滑肌脂肪瘤进行高选择性肾动脉栓塞已成为一种疗效更佳的治疗方法,尤其是在危及生命的病例中。