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在一名仅主诉胁腹疼痛的患者中,机器人辅助部分肾切除术后六个月检测到肾动脉假性动脉瘤。

Detection of renal artery pseudo-aneurysm six months after robotic assisted partial nephrectomy in a patient whose only complaint was flank pain.

作者信息

Otaño-Rivera Victor, Chelluri Raju, Guzzo Thomas J, Wein Alan J, Mucksavage Phillip

机构信息

Division of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA.

出版信息

Urol Case Rep. 2020 May 24;33:101259. doi: 10.1016/j.eucr.2020.101259. eCollection 2020 Nov.

Abstract

Renal artery pseudoaneurysm (RAP) is a potentially life-threatening complication after partial nephrectomy (PN). Studies suggests that most cases present within 15 days post operatively with one of three classic symptoms: gross hematuria, flank pain and/or anemia. However, there are a limited number of reports in the literature regarding delayed RAP (≥four months). To the best of our knowledge we report the first case of RAP six months following robotic-assisted PN.

摘要

肾动脉假性动脉瘤(RAP)是部分肾切除术后(PN)一种潜在的危及生命的并发症。研究表明,大多数病例在术后15天内出现三种典型症状之一:肉眼血尿、胁腹痛和/或贫血。然而,文献中关于延迟性RAP(≥4个月)的报道数量有限。据我们所知,我们报告了首例机器人辅助PN术后6个月发生RAP的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0958/7260674/8045c40427a0/gr1.jpg

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