Dubel Gregory J, Soares Gregory M
Department of Diagnostic Imaging, Brown University Medical School, Providence, Rhode Island.
Semin Intervent Radiol. 2007 Mar;24(1):124-9. doi: 10.1055/s-2007-971201.
Several renal vascular pathological processes have been associated with hematuria. These include renal artery aneurysm (RAA), fibromuscular dysplasia (FMD), renal nutcracker syndrome (RNS), renal arteriovenous malformation, renal vasculitis, and renal artery or vein thrombosis. We present an unusual case of hematuria in a patient eventually diagnosed with RAA, FMD, and RNS. Percutaneous therapy, including endovascular coiling, percutaneous transluminal angioplasty, and stent placement were used to address the underlying pathology. The differential diagnosis, pathophysiology, and surgical and interventional management of these renal vascular disorders are reviewed.
几种肾血管病理过程与血尿有关。这些包括肾动脉瘤（RAA）、纤维肌发育不良（FMD）、肾胡桃夹综合征（RNS）、肾动静脉畸形、肾血管炎以及肾动脉或静脉血栓形成。我们报告了一例血尿患者的罕见病例，该患者最终被诊断为RAA、FMD和RNS。采用了包括血管内栓塞、经皮腔内血管成形术和支架置入在内的经皮治疗方法来处理潜在的病理状况。本文对这些肾血管疾病的鉴别诊断、病理生理学以及手术和介入治疗进行了综述。
