Department of Urology, Asklepios Hospital Barmbek, Hamburg, Germany.
J Endourol. 2011 Apr;25(4):569-72. doi: 10.1089/end.2010.0127. Epub 2011 Mar 7.
A 56-year-old woman presented with right-sided flank pain, dizziness, and nausea. Ultrasonography revealed hydronephrosis of the right kidney. CT showed a nodular mass at the ureteropelvic junction. Subsequent CT angiography revealed the nodular mass as a distal aneurysm of the right renal artery compromising the ureteropelvic junction. Selective diagnostic angiography confirmed the diagnosis of a distal renal artery aneurysm. Moreover, angiography incidentally detected fibromuscular dysplasia of both renal arteries. The renal artery aneurysm was then successfully managed by transarterial embolization using detachable bioactive coils.
一位 56 岁女性因右侧腰痛、头晕和恶心就诊。超声检查显示右肾积水。CT 显示输尿管肾盂交界处有结节状肿块。随后的 CT 血管造影显示结节状肿块为右肾动脉远端动脉瘤，累及输尿管肾盂交界处。选择性诊断性血管造影证实了右肾动脉远端动脉瘤的诊断。此外，血管造影意外发现双侧肾动脉纤维肌性发育不良。随后，通过使用可分离的生物活性线圈经动脉栓塞成功治疗了肾动脉动脉瘤。
