Acute Aortic Occlusion Following a Nephrectomy: A Case Report

腎臟切除術後發生急性主動脈栓塞之例報告

李得安(Te-An Lee) ； 張奐光(Huang-Kuang Chang) ； 楊志東(Stone Yang)

《臺灣泌尿科醫學會雜誌》 13卷4期 (2002/12) Pp. 171-173

摘要

急性血管併發症在接泌尿科手術的患者中是相當少見的。大多數的患者常常是發生在靜脈側，通常的表現是肺靜脈栓塞等靜脈血栓疾病，其發生之原因常與術中及術後長時間的臥床或是已存在之凝血功能異常有關。
發生在動脈側的併發症尤其少見，其中大多數的病例是發生在腎臟移植患者，主要的原因常與術中大動脈吻合手術有關。在文獻上目前僅有一例報告是發生在接受腎臟輸尿管切除術之患者。我們在此報告一例患者在接受腎臟切除手術發生急性腹主動脈栓塞之併發症，並討論可能之發生原因。

關鍵字

主動脈阻塞 ； 腎臟切除術

並列摘要

Thromboembolic events following a nephrectomy are rare. They are usually caused either by poor venous return because of prolong immobilization or by previously existing coagulopathy. When they occur, they are usually found on the venous side.
Arterial occlusions after urologic procedures are extremely rare. Almost all previously reported cases were found associated with major vascular procedures such as anastomosis of the great vessels during renal transplantation. To our knowledge, there is only 1 similar case following a nephrectomy reported before by Sanad et al. in 1998 [1]. We report another case who presented with an acute abdominal aoric occlusion after a simple nephrectomy. The possible mechanism is also discussed.

並列關鍵字

aorta occlusion ； nephrectomy