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自发性肾动脉血栓形成:急性腹痛的罕见原因。

Spontaneous renal artery thrombosis: an unusual cause of acute abdomen.

作者信息

Singh Shantanu, Wang Li, Yao Qi Sheng, Jyotimallika Juthika, Singh Shivank

机构信息

Department of Urology and Andrology, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei. PR. China. 442000.

出版信息

N Am J Med Sci. 2014 May;6(5):234-6. doi: 10.4103/1947-2714.132944.

Abstract

CONTEXT

Spontaneous thrombosis of renal artery is extremely rare. Its presentation is that of commonly encountered problem of acute abdomen underscoring the need for a clinician to be aware of it.

CASE REPORT

We report a case of a 56-year-old male with no previous health problems presented with complaint of abdominal pain and nausea. Computed tomography angiogram (CTA) of the abdomen and pelvis confirmed thrombus in left renal artery. He showed good response to the treatment with resolution of the thrombus and improvement in the renal perfusion.

CONCLUSION

Our case does conform to the others experience of good outcome when treatment is initiated in a timely manner. This patient had resolution of symptoms and restoration of perfusion with anticoagulation. The purpose of this case report is to remind busy practicing physicians to keep spontaneous renal thromboembolism in differential diagnosis in a patient with acute abdomen.

摘要

背景

肾动脉自发性血栓形成极为罕见。其表现为常见的急腹症问题,这突出了临床医生对此加以认识的必要性。

病例报告

我们报告一例56岁男性病例,该患者既往无健康问题,现因腹痛和恶心就诊。腹部和盆腔计算机断层血管造影(CTA)证实左肾动脉有血栓形成。他对治疗反应良好,血栓溶解,肾灌注改善。

结论

我们的病例确实与其他病例的经验相符,即及时开始治疗会有良好的结果。该患者通过抗凝治疗症状缓解,灌注恢复。本病例报告的目的是提醒忙碌的执业医师,在急腹症患者的鉴别诊断中要考虑到自发性肾血栓栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aeb/4049059/38fc0d579926/NAJMS-6-234-g001.jpg

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