Hibi H, Itoh K, Mitsui K, Yamada Y, Shimoji T
Department of Urology, Tosei General Hospital.
Hinyokika Kiyo. 1993 Feb;39(2):159-62.
A 30-year-old-male was admitted to our hospital with a tentative diagnosis of appendicitis. We found no signs of peritonitis, and therefore suspected urinary tract calculi. Intravenous pyelography revealed his right kidney to be nonfunctional, while retrograde pyelography was normal. Angiography revealed right renal infarction. Renovascular hypertension was present, and treatment with captopril was prescribed. Two years later without medication he had normal blood pressure and plasma renin activity. Intravenous pyelography revealed a right kidney functioning well, and digital subtraction angiography (DSA) revealed spontaneous recanalization of his right renal artery.
一名30岁男性因初步诊断为阑尾炎入院。我们未发现腹膜炎体征，因此怀疑是尿路结石。静脉肾盂造影显示其右肾无功能，而逆行肾盂造影正常。血管造影显示右肾梗死。存在肾血管性高血压，遂开了卡托普利进行治疗。两年后，他未服药但血压和血浆肾素活性正常。静脉肾盂造影显示右肾功能良好，数字减影血管造影（DSA）显示其右肾动脉自发再通。
