Traumatic Dissection of a Renal Artery Branch after Blunt Abdominal Trauma: A Case Report and Review of the Literature

腹部鈍傷後腎動脈分支的外傷性剝離：一個病例報告與文獻回顧

李維哲(Wei-Che Lee) ； 石明誠(Ming-Chen Paul Shih) ； 林杏麟(Hsing-Lin Lin) ； 鄭淵家(Yuan-Chia Cheng)

《中華民國急救加護醫學會雜誌》 21卷2期 (2010/06) Pp. 94-98

https://doi.org/10.30018/JECCM.201006.0005

摘要

我們提出遭受機車事故導致左邊後腰部挫傷的一個22歲的男性。電腦斷層掃描找到右側腎臟的創傷性局部梗塞。隨後血管造影術顯示右側的腎動脈分支剝離並且我們置放了一可膨脹的支架橫跨此血管狹窄處。四個月後續追蹤顯示了成功的血管支架作用。在有微血尿與脊髓骨折的患者應執行具顯影劑的腹部電腦斷層掃描檢查。常規的血管內支架撐開術對此種傷害是一個很有希望的治療選擇，可以減少梗塞和防止進一步腎臟損傷。

關鍵字

電腦斷層 ； 腎動脈攝影 ； 腎動脈 ； 血栓 ； 支架

並列摘要

We present a 22-year-old man who suffered a contusion on the left side of his back in a motor scooter accident. Traumatic segmental infarction of the right kidney was found on computed tomography scan. A subsequent angiogram showed right renal artery branch dissection and an expandable stent was deployed across the stenosis. Stent treatment proved successful at the four month follow-up. Enhanced abdominal computed tomography imaging is indicated in patients with microhematuria associated with spinal fracture. Conventional stenting is a promising treatment option following angiography and it can reduce the infarct and prevent further renal damage.

並列關鍵字

computed tomography ； renal angiography ； renal artery ； thrombosis ； stent