Arroua F, Carcenac A, Toledano H, Varoquaux A, Ragni E, Rossi D, Bastide C
Service d'urologie, CHU Nord de Marseille, chemin des Bourrely, 13915 Marseille cedex 20, France.
Prog Urol. 2010 Jun;20(6):472-5. doi: 10.1016/j.purol.2009.10.004. Epub 2009 Dec 8.
Renal artery pseudoaneurysm (RAP) is a well-documented complication of percutaneous urologic procedures (biopsy, nephrostomy, nephrolithotomy) and renal trauma. Only few cases occurring after partial nephrectomy for cancer have been reported in the literature. We describe the case of one patient who presented with postoperative haemorrhage due to a RAP after partial nephrectomy. He has been successfully treated by angiographic selective embolization. This complication is rare but potentially life threatening. We describe its clinical and radiological diagnosis, and its management along with the current medical literature.
肾动脉假性动脉瘤(RAP)是经皮泌尿外科手术(活检、肾造瘘术、肾切开取石术)和肾外伤的一种有充分文献记载的并发症。文献中仅报道了少数几例癌症部分肾切除术后发生的病例。我们描述了1例部分肾切除术后因RAP出现术后出血的患者。他已通过血管造影选择性栓塞成功治疗。这种并发症很罕见,但可能危及生命。我们结合当前医学文献描述了其临床和影像学诊断以及治疗方法。