Seppala F E, Levey J
Am Surg. 1982 Jan;48(1):42-4.
Renal artery aneurysms constitute one per cent of all aneurysms. To our knowledge, this is the first reported case of a calcified saccular arteriosclerotic renal artery aneurysm rupturing. Because the patient was in hemorrhagic shock, nephrectomy was performed. The postoperative course was complicated by acute renal failure, pneumonia, and small-bowel fistula, which responded to hemodialysis, antibiotics, and central hyperalimentation, respectively. This case and review of the literature emphasizes the need for elective revascularization of renal artery aneurysms by primary repair or bypass graft, rather than performing an emergency nephrectomy.
肾动脉瘤占所有动脉瘤的1%。据我们所知，这是首例有钙化的囊状动脉硬化性肾动脉瘤破裂的报道病例。由于患者处于失血性休克状态，因此进行了肾切除术。术后过程出现了急性肾衰竭、肺炎和小肠瘘等并发症，分别通过血液透析、抗生素和胃肠外营养得到了缓解。该病例及文献回顾强调，对于肾动脉瘤，需要通过一期修复或旁路移植术进行择期血管重建，而不是进行急诊肾切除术。
