用血管栓塞術處理腎動脈血管瘤
1蔡秉儒，2林昭男，1蘇拯誠，1沈崇松，1洪士雅, 1陳育典
高雄市阮綜合醫院 1泌尿科 2放射科
Management renal artery aneurysm with coil embolization
1Ping-Ju Tsai, 2Chao-nan Lin, 1Cheng-Chen Su 1Chung-Sung Shen, 1Shih-Ya Hung, 1Yu-Dan Chen
1Division of Urology and 2division of radiology, Yuan’s General Hospital, Kaohsiung, Taiwan
Abstract
Renal artery aneurysm (RAA) is a care condition. It is often asymptomatic and benign. Symptomatic RAA would result in hypertension (HTN), hematuria, pain and hydronephrosis. The most severe complication is sudden onset of the aneurysm rupture. It would result in the mortality.
We presented one female patient with HTN. She regularly took anti-HTN medicines. Incidentally, we found one 3.5cm parapelvic cyst and ipsilateral hydronephrosis in her left kidney. Further abdominal contrast CT scan revealed a large saccular aneurysm from anterior branch of left renal artery. The TAE was carried out via aneurysm inside with coils and absolute alcohol mixed with Lipidol for the aim of devascularization. The patient’s convalescence was uneventful. Her HTN and hydronephrosis condition got improved and didn’t need any medicines any more.