经皮腔内冠状动脉成形术后自发性巨大肾周血肿

Large spontaneous perirenal haematoma following percutaneous transluminal coronary angioplasty.

作者信息

Attri Varinder, Parmar Kalpesh Mahesh, Prateek Tarun, Kumar Santosh

机构信息

Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

出版信息

BMJ Case Rep. 2019 Nov 14;12(11):e232437. doi: 10.1136/bcr-2019-232437.

DOI:10.1136/bcr-2019-232437

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6887355/

Abstract

Perirenal haematoma is a rare and life-threatening condition in view of severe and ongoing blood loss. Most common causes are renal cancer, angiomyolipoma and vasculitis. Spontaneous causes of this rare entity may occur with use of anticoagulants and antiplatelets. We report a 61-year-old male patient diagnosed with large perirenal haematoma following percutaneous transluminal coronary angioplasty for myocardial infarction under heparin cover that was managed conservatively.

摘要

鉴于严重且持续的失血情况，肾周血肿是一种罕见且危及生命的病症。最常见的病因是肾癌、血管平滑肌脂肪瘤和血管炎。使用抗凝剂和抗血小板药物可能会引发这种罕见病症的自发性病因。我们报告了一名61岁男性患者，该患者在肝素覆盖下接受经皮腔内冠状动脉成形术治疗心肌梗死之后，被诊断出患有巨大肾周血肿，其采用保守治疗。

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