Kosoĭ G Kh, Kosaia N M
Arkh Patol. 1982;44(1):70-2.
A male patient of 47 underwent embolization of the renal artery in connection with planned nephroectomy for tumor of the left kidney. The embolizing material consisted of autohemocoagulations mixed with hemostatic sponge. Embolization was accompanied by thromboembolism of tibial arteries on the right and interlobular arteries of the right kidney with the development of multiple infarctions. The death was due to acute renal insufficiency. In this connection, the causes of complication are analysed and indications to embolization of the renal artery are discussed. Another feature of the case is the presence of a rare tumor, fibrosarcoma of the kidney of a large size with metastases into the lungs.
一名47岁男性患者,因计划对左肾肿瘤进行肾切除术,先行肾动脉栓塞术。栓塞材料由自体血凝块与止血海绵混合而成。栓塞过程中并发右胫动脉及右肾小叶间动脉血栓栓塞,导致多处梗死。患者死于急性肾功能不全。据此,分析了并发症的原因,并讨论了肾动脉栓塞的指征。该病例的另一个特点是存在一种罕见的肿瘤,即巨大肾纤维肉瘤并伴有肺转移。