破裂性肾动脉瘤的血管内治疗：基于病例的文献综述
Endovascular Treatment of Ruptured Renal Artery Aneurysm: A Case-Based Literature Review.
作者信息
Sedhai Yub Raj, Basnyat Soney, Dar Tawseef, Acharya Deepak
机构信息
Clinical Assistant Professor of Medicine, Virginia Commonwealth University, School of Medicine, Richmond, VA, USA.
Resident, Internal Medicine, St. Mary Mercy Hospital, Livonia, MI, USA.
出版信息
Case Rep Med. 2019 Feb 6;2019:3738910. doi: 10.1155/2019/3738910. eCollection 2019.
Renal artery aneurysms are extremely uncommon with a reported incidence of less than one percent in general population. They are being more frequently detected due to increasing availability and use of abdominal imaging. Renal artery aneurysm rupture is an extremely unusual cause of acute flank pain with hemodynamic instability. Given the rarity of diagnoses, clinicians may not consider and address this ruptured renal artery aneurysm early which can potentially lead to adverse clinical outcomes. We report the case of a 55-year-old male who presented with retroperitoneal bleeding from a ruptured aneurysm of the interlobular branch of renal artery. He was endovascularly treated with coil embolization. We have also reviewed the inherent literature.
肾动脉瘤极为罕见，据报道在普通人群中的发病率低于1%。由于腹部影像学检查的可及性增加和使用频率提高，肾动脉瘤的检出率越来越高。肾动脉瘤破裂是急性胁腹痛伴血流动力学不稳定的极为罕见的原因。鉴于诊断罕见，临床医生可能不会早期考虑并处理这种破裂的肾动脉瘤，这可能会导致不良临床后果。我们报告一例55岁男性患者，其因肾动脉小叶间分支动脉瘤破裂出现腹膜后出血。他接受了血管内弹簧圈栓塞治疗。我们还回顾了相关文献。
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