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Title: 膀胱へ穿孔した内腸骨動脈瘤の1例
Other Titles: Isolated hypogastric artery aneurysm ruptured into urinary bladder: a case report
Authors: 森山, 学  KAKEN_name
中嶋, 千聡  KAKEN_name
池田, 龍介  KAKEN_name
津川, 龍三  KAKEN_name
長末, 正己  KAKEN_name
松原, 純一  KAKEN_name
清水, 健  KAKEN_name
Author's alias: Moriyama, Manabu
Nakajima, Chiaki
Ikeda, Ryousuke
Tsugawa, Ryuzo
Nagasue, Masami
Matsubara, Junichi
Shimizu, Ken
Keywords: Hypogastric artery aneurysm
Ruptured into bladder
Issue Date: Jun-1993
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 39
Issue: 6
Start page: 561
End page: 563
Abstract: An 81-year-old man was admitted to our hospital with a complaint of dysuria. He had had a right hypogastric aneurysm repaired three years earlier. Physical examination showed a distended soft abdomen and tender mass about the size of a child's head but no murmur was heard over the mass. An excretory urogram (DIP) showed left hydronephrosis and no excretion from the right kidney. Computerized tomography (CT) showed urinary bladder compressed by the mass on the upper right back side. Cystography showed that the large mass occupied the pelvic region with calcification and communicated with the bladder. After a few days, an operation for the aneurysm was undertaken by the surgical department. Although bilateral ureterolysis was possible, a resection of the aneurysm could not be done. The aneurysm was injected with fibrin adhesive and a bilateral nephrostomy was performed. The renal function has been stable and the size of the aneurysm has remained unchanged for 9 months after the surgery.
PubMed ID: 8337984
Appears in Collections:Vol.39 No.6

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