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自发性腹膜后血肿与膜性肾小球肾炎:一例报告

Spontaneous Retroperitoneal Hematoma and Membranous Glomerulonephritis; a Case Report.

作者信息

Sabzghabaei Foroogh, Babaei Mohammad Reza, Moradi Asaad, Shakiba Behnam

机构信息

Department of Internal Medicine, Firoozgar Hospital, Iran University of Medical Science, Tehran, Iran.

Interventional radiology Unit, Firoozgar Hospital, Iran University of Medical Science, Tehran, Iran.

出版信息

Arch Acad Emerg Med. 2019 Dec 25;8(1):e2. eCollection 2020.

PMID:32021983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6946040/
Abstract

Spontaneous retroperitoneal hematoma (SRH) is a rare finding which is usually accompanied with anticoagulant and/or antiplatelet aggregation therapy. We describe a patient with a rare presentation of SRH and membranous glomerulonephritis with diffuse visceral arterial micro aneurysms due to medium to small size vasculitis and weakly positive antinuclear antibody (ANA). To the authors' knowledge, this is a unique report, which does not have any serologic confirmation of specific vasculitis.

摘要

自发性腹膜后血肿(SRH)是一种罕见的病症,通常与抗凝和/或抗血小板聚集治疗有关。我们描述了一名患者,该患者表现出罕见的SRH合并膜性肾小球肾炎,伴有因中小血管炎和抗核抗体(ANA)弱阳性导致的弥漫性内脏动脉微动脉瘤。据作者所知,这是一份独特的报告,没有任何特定血管炎的血清学确诊依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9f/6946040/1298b9fcc5d6/aaem-8-e2-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9f/6946040/1298b9fcc5d6/aaem-8-e2-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9f/6946040/1298b9fcc5d6/aaem-8-e2-g001.jpg

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本文引用的文献

1
Spontaneous non-aortic retroperitoneal hemorrhage: etiology, imaging characterization and impact of MDCT on management. A multicentric study.自发性非主动脉腹膜后出血:病因、影像学特征及 MDCT 对治疗的影响。一项多中心研究。
Radiol Med. 2015 Jan;120(1):133-48. doi: 10.1007/s11547-014-0482-0. Epub 2015 Jan 9.
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A rare cause of spontaneous perirenal haemorrhage in a patient with ANCA-associated vasculitis.抗中性粒细胞胞浆抗体相关血管炎患者自发性肾周出血的罕见原因。
Neth J Med. 2013 Jul-Aug;71(6):318, 322.
3
Spontaneous retroperitoneal bleeding from renal microaneurysms and pancreatic pseudocyst in a patient with systemic lupus erythematosus.
一名系统性红斑狼疮患者出现肾微动脉瘤和胰腺假性囊肿导致的自发性腹膜后出血。
Scand J Rheumatol. 2006 Nov-Dec;35(6):481-4. doi: 10.1080/03009740600844464.
4
Spontaneous perirenal hemorrhage: a 10-year experience at our institution.自发性肾周出血:我们机构10年的经验
Int Urol Nephrol. 2004;36(1):15-9. doi: 10.1023/b:urol.0000032680.65742.9a.
5
The antineutrophil cytoplasmic antibody-associated vasculitides.抗中性粒细胞胞浆抗体相关血管炎
Am J Med. 2004 Jul 1;117(1):39-50. doi: 10.1016/j.amjmed.2004.02.030.
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Ruptured pancreaticoduodenal artery aneurysm. A case report and review of the literature.胰十二指肠动脉动脉瘤破裂。病例报告及文献综述。
J Cardiovasc Surg (Torino). 2004 Apr;45(2):153-7.
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Limited versus severe Wegener's granulomatosis: baseline data on patients in the Wegener's granulomatosis etanercept trial.局限性与重度韦格纳肉芽肿:韦格纳肉芽肿依那西普试验中患者的基线数据
Arthritis Rheum. 2003 Aug;48(8):2299-309. doi: 10.1002/art.11075.
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Rupture of a saccular renal artery aneurysm: report of a case.囊状肾动脉瘤破裂:病例报告
Surg Today. 2002;32(8):753-5. doi: 10.1007/s005950200143.
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Etiology of spontaneous perirenal hemorrhage: a meta-analysis.自发性肾周出血的病因:一项荟萃分析。
J Urol. 2002 Apr;167(4):1593-6. doi: 10.1097/00005392-200204000-00006.
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Vasculitis in systemic lupus erythematosus.系统性红斑狼疮中的血管炎
Lupus. 1997;6(3):235-42. doi: 10.1177/096120339700600304.