자발성 신동맥류 파열을 동반한 결절성 다발성 동맥염 1예

• Published in: Kidney research and clinical practice Vol. 17; no. 4; pp. 634 - 638
• Main Authors: 임영희, Young Hee Lim, 오은영, Eun Young Oh, 김춘관, Choon Kwan Kim, 김혜영, Hye Young Kim, 허우성, Wooseong Huh, 이윤하, Yoon Ha Lee, 김윤구, Yoon Ku Kim, 오하영, Ha Young Oh, 김보현, Bo Hyon Kim, 서연림, Yeon Lim Suh
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 30.07.1998
• Subjects: Aneurysm repture; Coil embolization; Perirenal hematoma; Polyarteritis nodosa
• ISSN: 2211-9132

Although renal aneurysmal formation in polyarteritis nodosa is common, it is rare to form complication of perirenal hematoma caused by spontaneous rupture of renal aneurysm. It should be differentiated from renal tumor, arterio-venous malforrnation, renal infarction, coagulopathy, and acute hydronephrosis in considering the cause of perirenal hematoma. In addition to that, it is a potential life-threatening complication and its early recognition and prompt treatrnent are emphasized. We describe a patient with polyarteritis nodosa who developed spontaneous perinenal hematoma due to repture of renal aneurysm, who had nonspecific symptoms. We thought polyarteritis nodosa based on present illness and clinical background, then immediately performed angiography and coil embolization. So the patient could be treated with cyclophosphamide and steroid successfully. Polyarteritis nodosa is a relatively rare disease, but should be included as one of the differential diagnosis whenever perirenal hematoma occurs.