Datta N C, Henson G F, Vaughan E D, Nolan S F
Urology. 1979 Jun;13(6):646-9. doi: 10.1016/0090-4295(79)90388-1.
A pelvic hematoma arising from a leaking left hypogastric aneurysm resulted in the acute onset of bilateral flank pain and bilateral ureteral obstruction in a sixty-four-year-old black man. Intravenous pyelogram revealed a pelvic hematoma with narrowing of both lower ureters, hydroureteronephrosis, and anterior bladder displacement. Cystoscopy revealed anterior displacement of the bladder base which appeared pulsatile. Arteriography confirmed the leaking hypogastric aneurysm, and successful surgical ligation was performed.
一名64岁黑人男性因左下腹动脉瘤渗漏引发盆腔血肿，导致双侧胁腹疼痛急性发作及双侧输尿管梗阻。静脉肾盂造影显示盆腔血肿伴双侧输尿管下段狭窄、输尿管肾盂积水及膀胱向前移位。膀胱镜检查发现膀胱底部向前移位，似有搏动。动脉造影证实下腹动脉瘤渗漏，遂成功实施手术结扎。
