腹腔镜部分肾切除术治疗 11cm 肾肿瘤后假性动脉瘤。

Pseudoaneurysm after laparoscopic partial nephrectomy for an 11-cm renal tumor.

机构信息

Department of Urology, Peking University First Hospital and Institute of Urology, Beijing, China.

出版信息

Urology. 2012 Aug;80(2):e15-6. doi: 10.1016/j.urology.2012.04.059.

DOI:10.1016/j.urology.2012.04.059

Abstract

A case of renal artery pseudoaneurysm (RAP) after partial nephrectomy for an 11-cm renal tumor is reviewed. Symptoms, computed tomography (CT) scan images and angiography are all displayed. A 57-year-old woman was readmitted 4 months after she underwent a retroperitoneal laparoscopic partial nephrectomy for an 11-cm right renal tumor. Contrast CT revealed a 10.3-cm mass recurrence in the same position as her former tumor. Renal arteriography confirmed active bleeding from the anterior upper pole segmental branch into a 3 × 3 × 7-cm pseudoaneurysm. Percutaneous selective coil angioembolization was successfully performed. The remaining kidney parenchyma was fully preserved.

摘要

回顾了一例 11cm 肾肿瘤行部分肾切除术（PN）后发生肾动脉假性动脉瘤（RAP）的病例。展示了症状、计算机断层扫描（CT）图像和血管造影。一名 57 岁女性在接受后腹腔镜部分肾切除术（PN）治疗 11cm 右肾肿瘤 4 个月后再次入院。增强 CT 显示同一位置的肿瘤复发出现在 10.3cm 的肿块。肾动脉造影证实来自前上极段分支的活跃性出血进入 3×3×7cm 的假性动脉瘤。成功地进行了经皮选择性线圈血管栓塞术。保留了剩余的肾实质。