Kurokawa K, Takahashi H, Ichinose Y, Kobayashi D, Nishikawa K, Suzuki M, Mizuhashi Y, Kojima M, Suzuki T, Imai K
Department of Urology, Ashikaga Red Cross Hospital.
Hinyokika Kiyo. 1993 May;39(5):455-8.
We report a case of rupture of giant renal artery aneurysm (10 cm diameter) with lower abdominal discomfort and a syncopal attack. The patient was successfully treated by nephrectomy. Rupture of a giant renal artery aneurysm is lethal in most cases and prompt diagnosis is indispensable. As preoperative diagnosis, ultrasonography was useful as it showed the blood flow in the renal artery aneurysm in real-time. CT scan was also useful in determining accurately the size of the aneurysm and extension of hematoma in its surroundings.
我们报告一例直径达10厘米的巨大肾动脉瘤破裂病例，患者伴有下腹部不适和晕厥发作。该患者通过肾切除术获得成功治疗。巨大肾动脉瘤破裂在大多数情况下是致命的，迅速诊断必不可少。作为术前诊断，超声检查很有用，因为它能实时显示肾动脉瘤内的血流情况。CT扫描在准确确定动脉瘤大小及其周围血肿范围方面也很有用。
