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タイトル: | 鈍的腎外傷による腎動静脈瘻の1例 |
その他のタイトル: | Renal Arteriovenous Fistula Induced by Blunt Renal Trauma : A Case Report |
著者: | 富田, 圭司 岩城, 秀出洙 影山, 進 成田, 充弘 吉貴, 達寛 岡田, 裕作 |
著者名の別形: | Tomita, Keiji Iwaki, Hideaki Kageyama, Susumu Narita, Mitsuhiro Yoshiki, Tatsuhiro Okada, Yusaku |
キーワード: | Renal arteriovenousfis tula Renal trauma Blunt injury |
発行日: | Jan-2010 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 56 |
号: | 1 |
開始ページ: | 25 |
終了ページ: | 28 |
抄録: | We report a case of renal arteriovenous fistula (RAVF) following blunt renal trauma. An 84-year-old woman who presented with massive gross hematuria after striking her right flank region on the corner of a table was transferred to neighboring hospital on October 24, 2006. Plain computerized tomography (CT) revealed a small subcapsular hematoma on the right kidney, corresponding to a type I renal injury according to the classification of the Japanese Association for the Surgery of Trauma. However, subsequent enhanced CT demonstrated the migration of injected contrast material from the main trunk of the right renal artery to the inferior vena cava in the early phases. Because these findings suggested the occurrence of RAVF, the patient wasreferred to our hospital for further evaluation and therapy. Selective right renal arteriography enabled observation of trauma-induced RAVF in the upper pole of the affected kidney. Consecutively, transcatheter arterial embolization was performed with a metal coil, after which the shunt blood flow was successfully stopped. RAVF associated with blunt renal injury is extremely rare : only four cases have been previously reported in the literature. |
著作権等: | 許諾条件により本文は2011-02-01に公開 |
URI: | http://hdl.handle.net/2433/92993 |
PubMed ID: | 20104006 |
出現コレクション: | Vol.56 No.1 |
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