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经皮肾镜取石术后肾动脉假性动脉瘤

Post-PCNL Renal Artery Pseudoanurysm.

作者信息

Shah Safdar, Fatima Abeer, Shah Muhammad Danial Ali, Ali Wajid, Gorya Irfan Ahmed, Nasrullah Fawad

机构信息

Department of Urology, KEMU/Mayo Hospital, Lahore.

Student, Allama Iqbal Medical College, Lahore.

出版信息

J Coll Physicians Surg Pak. 2018 Mar;28(3):238-239. doi: 10.29271/jcpsp.2018.03.238.

Abstract

A renal artery pseudoaneurysm is a rare but important complication that can occur after renal trauma, renal biopsy, percutaneous nephrostomy, percutaneous nephrolithotomy (PCNL), and partial nephrectomy. The incidence of this potentially life-threatening complication is less than 1%, but is likely to increase with the increasing popularity of endoscopic renal procedures. We present a case of a 30-year female who underwent right PCNL for a right renal pelvic stone. Two weeks later, she presented with massive hematuria. Renal angiography revealed psuedoanurysm of interlobar artery which was successfully treated with coil embolization.

摘要

肾动脉假性动脉瘤是一种罕见但重要的并发症,可发生于肾外伤、肾活检、经皮肾造瘘术、经皮肾镜取石术(PCNL)及肾部分切除术后。这种潜在危及生命的并发症发生率低于1%,但随着内镜肾手术的日益普及,其发生率可能会增加。我们报告一例30岁女性,因右肾盂结石接受了右PCNL手术。两周后,她出现大量血尿。肾血管造影显示叶间动脉假性动脉瘤,通过弹簧圈栓塞成功治疗。

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