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伴自发性肾出血进入肾血管平滑肌脂肪瘤的温德利希综合征。

Wunderlich syndrome with spontaneous renal hemorrhage into renal angiomyolipoma.

作者信息

Bhatty Tanweer, Zia Ahmad, Khan Iftikhar Ali, Nawaz Gul

机构信息

Department of Urology, Pakistan Kidney and Liver Institute and Research Centre, Lahore, Pakistan.

出版信息

Urol Ann. 2020 Oct-Dec;12(4):392-393. doi: 10.4103/UA.UA_169_19. Epub 2020 Oct 15.

Abstract

Wunderlich syndrome is a rarely entity. We report our case of a 60-year-old female, who presented in the emergency medicine department with acute right flank pain, tender mass right upper quadrant abdomen, hypotension, and visible hematuria. Urgent computerized tomogram confirmed bleeding in the right renal angiomyolipoma. Selective angioembolization was done. The patient recovered and was sent home after 1 week. On follow-up after 1 month, she is doing fine, and on ultrasound, AML had interval decrease in size.

摘要

温德利希综合征是一种罕见的病症。我们报告了一例60岁女性病例,该患者因急性右下腹疼痛、右上腹压痛性肿块、低血压和肉眼血尿就诊于急诊科。紧急计算机断层扫描证实右肾血管平滑肌脂肪瘤出血。进行了选择性血管栓塞术。患者康复,1周后出院。1个月后的随访显示,她情况良好,超声检查显示血管平滑肌脂肪瘤大小有阶段性减小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fe/7992525/8f63381b9894/UA-12-392-g001.jpg

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