University of Burgundy, INSERM U866, Dijon, France.
Am J Surg. 2011 Sep;202(3):e25-6. doi: 10.1016/j.amjsurg.2010.06.031. Epub 2011 Jul 14.
Twelve days after an open partial nephrectomy, a 31-year-old man was re-admitted urgently for acute lumbar pain. An emergent helical computed tomography scan with intravenous contrast revealed a 3-cm renal artery pseudoaneurysm at the site of the partial nephrectomy, which was responsible for a large perirenal hematoma. Transarterial hyperselective embolization successfully occluded the pseudoaneurysm with less than 1 mL of N-butyl-2-cyanoacrylate, an embolizing agent less costly than coils. The kidney parenchyma was fully preserved.
一名 31 岁男性在接受开放性部分肾切除术 12 天后因急性腰痛紧急再次入院。紧急进行螺旋 CT 扫描并静脉注射造影剂后显示，部分肾切除部位的肾动脉假性动脉瘤长至 3 厘米，导致巨大肾周血肿。经动脉高选择性栓塞术用不到 1 毫升的 N-丁基-2-氰基丙烯酸酯（一种比线圈更廉价的栓塞剂）成功地闭塞了假性动脉瘤，完整保留了肾实质。
