Kuo J Y, Okada Y, Takeuchi H, Yoshida O, Suzuki H, Kim Y C
Department of Urology, Faculty of Medicine, Kyoto University, Japan.
Urol Int. 1989;44(3):177-80. doi: 10.1159/000281498.
We report a case of renovascular hypertension due to renal segmental artery stenosis and aneurysm seen in a 16-year-old boy with neurofibromatosis. Hypertension was successfully treated with partial nephrectomy. Histopathologic examination disclosed proliferation of arterial intima not only in the stenotic portion and the aneurysm but also in intralobular arteries of the kidney. Review of the literature revealed that treatment for such patients has varied.
我们报告了一例16岁患有神经纤维瘤病的男孩，因肾段动脉狭窄和动脉瘤导致肾血管性高血压。通过部分肾切除术成功治疗了高血压。组织病理学检查发现，不仅在狭窄部位和动脉瘤处，而且在肾小叶内动脉中都有动脉内膜增生。文献回顾显示，对此类患者的治疗方法各不相同。
