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치료받지 않은 고혈압 환자에서 발생한 신동맥류의 자발성 파열
김지일 ( Kim Ji Il ),서학준 ( Seo Hag Jun ),신옥란 ( Sin Og Lan ),송선화 ( Song Seon Hwa ),황은미 ( Hwang Eun Mi ),주강 ( Ju Gang ),김영수 ( Kim Yeong Su ),윤선애 ( Yun Seon Ae ),김영옥 ( Kim Yeong Og ) 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.6
Spontaneous rupture of renal artery aneurysm is a rare, but life threatening complication with high mortality. The etiology of non-traumatic renal artery aneurysm is fibromuscular dysplasia, atherosclerosis, vasculitis, and pregnancy. We here report a case of spontaneous rupture of renal artery aneurysm in a patient with untreated hypertension. A 39-year-old non-pregnant woman complained of sudden onset of right flank and lower quadrant abdominal pain. Ul-trasonography showed large fluid collection in right lower abdomen. Emergency laparotomy demonstrated huge retroperitoneal hematoma due to spontaneous rupture of right renal artery aneurysm. Microscopic examination of the aneurysmal wall revealed intimal hyperplasia without atherosclerotic change. (Korean J Nephrol 2003;22(6):763-766)