Niwa Naoya, Yanaihara Hitoshi, Horinaga Minoru, Nakahira Yoko, Hanashima Fuminari, Asakura Hirotaka
1Department of Urology, Saitama Medical University, Saitama, Japan.
Vasc Endovascular Surg. 2013 Oct;47(7):558-60. doi: 10.1177/1538574413495465. Epub 2013 Jul 9.
Vascular abnormalities in neurofibromatosis type 1 (NF-1) are rare but sometimes fatal. We report a case of spontaneous rupture of a left renal artery aneurysm in a patient with NF-1. A 41-year-old nonpregnant normotensive woman known to have NF-1 presented to our emergency department with left flank pain. Computed tomography showed a large retroperitoneal hematoma due to left renal artery aneurysm rupture. She was treated with selective transcatheter coil embolization and fully recovered.
1型神经纤维瘤病(NF-1)中的血管异常罕见,但有时会致命。我们报告1例NF-1患者左肾动脉动脉瘤自发破裂的病例。一名41岁、非妊娠、血压正常且已知患有NF-1的女性因左侧胁腹疼痛就诊于我院急诊科。计算机断层扫描显示因左肾动脉动脉瘤破裂导致巨大腹膜后血肿。她接受了选择性经导管弹簧圈栓塞治疗,最终完全康复。