Document Detail

Radiological treatment of a spontaneously ruptured inferior adrenal artery aneurysm.
MedLine Citation:
PMID:  21045799     Owner:  NLM     Status:  In-Process    
BACKGROUND: A 70-year-old man with a history of hypertension presented with severe epigastric discomfort that radiated to his back. CT revealed cystic kidney disease and a large retroperitoneal hemorrhage, and CT angiography identified an active bleeding point in the region of the left adrenal gland. Selective left renal angiography identified a small inferior adrenal artery aneurysm with active hemorrhage. The patient underwent successful transcatheter embolization with microcoils and polyvinyl alcohol microparticles to control the bleeding.
INVESTIGATIONS: Blood tests, urinalysis, electrocardiography, triphasic CT with CT angiography.
DIAGNOSIS: Ruptured left inferior adrenal artery aneurysm.
MANAGEMENT: Access to the inferior adrenal artery was achieved with a microcatheter, followed by transcatheter embolization using a combination of polyvinyl alcohol microparticles distally and microcoils proximally to the aneurysm.
James Manners; Rajinder Singh; Andrew Page; Andrew Adamson; Duncan McLean
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Publication Detail:
Type:  Journal Article     Date:  2010-11-02
Journal Detail:
Title:  Nature reviews. Urology     Volume:  7     ISSN:  1759-4820     ISO Abbreviation:  Nat Rev Urol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101500082     Medline TA:  Nat Rev Urol     Country:  England    
Other Details:
Languages:  eng     Pagination:  694-8     Citation Subset:  IM    
Department of Urology, Royal Hampshire County Hospital, Romsey Road, Winchester, Hampshire, UK.
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