在结石性肌炎后的脏伪动脉瘤
Yuri Koyama1, Tetsuya Yumioka2, Hirofumi Ohno2
1Division of Urology, Department of Surgery, Faculty of Medicine Tottori University Yonago Tottori Japan.
IJU case reports
|April 30, 2024
概括
本病例报告详细介绍了一种罕见的脏伪动脉瘤形成的情况,该病例是严重的结石性肌炎的次要病例. 及时诊断和血管栓塞对于患者的康复至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
背景情况:
- 脏伪动脉瘤是不常见的并发症,通常与创伤或外科手术有关.
- 虽然脏炎症可能导致伪动脉瘤,但这些病例很少被记录下来.
研究的目的:
- 报告一个破裂的脏神经动脉瘤破裂的独特病例,可能是由严重的结石性骨髓炎引起的.
- 强调在患有严重尿路感染的患者中考虑罕见病因的重要性.
主要方法:
- 一名53岁的男性患者出现了严重炎症和尿管结石的症状.
- 诊断成像,包括计算机断层扫描,确定了石头,水,随后是破裂的伪动脉瘤.
- 患者接受了紧急尿路支架,抗生素治疗和成功的血管栓塞.
主要成果:
- 患者出现了急性出血,背部疼痛,膀栓塞和贫血.
- 用对比增强的计算机断层扫描证实了脏伪动脉瘤破裂.
- 成功的血管栓塞导致患者的稳定和出院.
结论:
- 结石性肌炎可能是脏伪动脉瘤形成的罕见原因.
- 这一案例强调了需要警诊断和及时干预来管理复杂的病理.
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