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新冠病毒感染后肾动脉假性动脉瘤:一种罕见的延迟并发症。

Renal artery pseudoaneurysm post-COVID-19 infection: An unusual delayed complication.

作者信息

Shubhankar Gautam, Mittal Ankur, Panwar Vikas Kumar, Kumar Siddharth

机构信息

Department of Urology, AIIMS, Rishikesh, Uttarakhand, India.

出版信息

Indian J Urol. 2024 Apr-Jun;40(2):133-135. doi: 10.4103/iju.iju_454_23. Epub 2024 Apr 1.

Abstract

This case report discusses a rare and severe complication of COVID-19 recovery - renal mucormycosis leading to right renal artery pseudoaneurysm. A 59-year-old patient, previously treated for COVID-19, presented with dry cough, flank pain, and hematuria. He was diagnosed with renal artery pseudoaneurysm with renal mucormycosis. Successful management included urgent angioembolization, systemic liposomal amphotericin B, and subsequent radical nephrectomy post-stabilization. The case underscores the importance of vigilant post-COVID-19 follow-up, particularly in patients treated with steroids, and highlights the need for a multidisciplinary approach for timely diagnosis and effective management of mucormycosis related complications.

摘要

本病例报告讨论了新冠病毒病康复后的一种罕见且严重的并发症——肾毛霉病导致右肾动脉假性动脉瘤。一名曾接受过新冠病毒病治疗的59岁患者,出现干咳、侧腹痛和血尿。他被诊断为患有肾毛霉病伴肾动脉假性动脉瘤。成功的治疗措施包括紧急血管栓塞、全身应用脂质体两性霉素B,以及病情稳定后进行根治性肾切除术。该病例强调了新冠病毒病康复后进行密切随访的重要性,尤其是对于接受过类固醇治疗的患者,并突出了采用多学科方法及时诊断和有效管理毛霉病相关并发症的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9987/11078452/5f632aad4aed/IJU-40-133-g001.jpg

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