Hidronefroz ile Birlikteliği olan İzole Rüptüre Dev İliak Arter Anevrizması: Olgu Sunumu
| Autor: | Mustafa Seren, Kasim Karapinar, Suleyman Surer, Mehmet Atay, Onur Saydam, Alper Özgür |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Abdominal pain lcsh:R5-920 Percutaneous business.industry medicine.medical_treatment General Medicine medicine.disease Nephrectomy Catheter medicine.anatomical_structure Hematoma Medicine Abdomen Retroperitoneal space Radiology medicine.symptom business lcsh:Medicine (General) Hydronephrosis |
| Zdroj: | Cukurova Medical Journal, Vol 40, Iss 0, Pp 167-169 (2015) |
| ISSN: | 2602-3040 |
| Popis: | We report a 51year-old male patient admitted to our emergency department because of sudden abdominal pain, hypotension, and dyspnea. On physical examination, abdominal tenderness was observed, primarily in the lower abdomen. Hemoglobin was 8.5g/dl and hematocrit was 26%. Renal function was within normal limits. Ruptured giant left IIIAA ( diameter 11 cm ) with massive hematoma on the left side of retroperitoneal space and extensive left kidney ( diameter 26x18x20 cm ) hydronephrosis ( Figure 1a,1b ) was detected with contrast-enhanced computed tomography (CT). The patient been consulted to the urology department at the same time and decided left nephrectomy for left kidney hydronephrosis. The patient was immediately taken to operation room due to hemodynamic instability. Proximal control was obtained by percutaneous endoaortic balloon occlusion catheter. The aneurismal sac was reached after midline laparotomy (figure 2). Ligation was performed to both the proximal and distal neck of aneurismal sac. After this procedure aneursimal sac was opened and drained. Concomitantly nephrectomy was performed. The postoperative follow up was uneventful. Symptoms of ischemic colon and claudicating were not observed and renal function tests were impaired. The patient was discharged on day 7 postoperatively. At 6 months postoperative, the patient remained well. |
| Databáze: | OpenAIRE |
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