3 research outputs found

    破裂巨大腎動脈瘤の1例

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    64歳女, 下腹部不快, 失神発作にて発症したエコー, CTにて腎動脈瘤の破裂を強く疑い, 血管造影にて確診した。この際コイルによる塞栓を試みたが不能で, 腎摘出を行い救命しえた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
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