双重麻烦：巨大未破裂主动脉瘤

Gagne Martin L, Malhotra Radhika, Zito Joseph, Schwartz Adam, Sattler Steven

Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West Islip, New York.

Clin Pract Cases Emerg Med. 2018 Jan 9;2(1):12-15. doi: 10.5811/cpcem.2017.7.33820. eCollection 2018 Feb.

We describe a patient who presented to the emergency department complaining of generalized weakness, dark stools, and urinary retention who was found to have two large abdominal aortic aneurysms (AAA) compressing his bilateral ureters with associated hydronephrosis and renal insufficiency. In elderly male patients presenting with signs of obstructive uropathy, AAA should be considered as a potential cause.

我们描述了一名患者，他因全身无力、黑便和尿潴留前往急诊科就诊，结果发现有两个巨大的腹主动脉瘤（AAA）压迫其双侧输尿管，伴有肾积水和肾功能不全。在出现梗阻性尿路病症状的老年男性患者中，应考虑腹主动脉瘤为潜在病因。