Renal artery aneurysm causing hydronephrosis

被引：4

作者：

Miyagawa, Y

Oka, T

Takano, Y

Takaha, M

Choi, S

Isobe, F

机构：

[1] Osaka Natl Hosp, Dept Urol, Osaka, Japan

[2] Osaka Natl Hosp, Dept Radiol, Osaka, Japan

[3] Osaka Natl Hosp, Dept Cardiovasc Surg, Osaka, Japan

来源：

INTERNATIONAL JOURNAL OF UROLOGY | 2001年 / 8卷 / 08期

关键词：

hydronephrosis; renal artery aneurysm; 3-D computed tomography;

D O I：

10.1046/j.1442-2042.2001.00350.x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A 42-year-old man presented with left hydronephrosis incidentally discovered on abdominal echogram during a routine health examination. Color Doppler ultrasonography, intravenous pyelography and angiography revealed a non-calcified renal artery aneurysm of 30 mm in size compressing the pyeroureteral junction and causing hydronephrosis. Three-dimensional computed tomography (3-D CT) using spiral CT clearly displayed the aneurysm located at the first bifurcation of the left renal artery and involving the anterior segmental artery. Decompression was successfully obtained via in situ revascularization of the renal artery after aneurysmectomy. A literature search revealed 12 cases of renal artery aneurysm causing hydronephrosis reported in Japan, although only three cases were documented in other countries, and these reports are reviewed. Use of 3-D CT for evaluation of renal artery aneurysm is advocated.

引用

页码：463 / 466

页数：4

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