[Acute perirenal hemorrhage after lower limb digital subtraction angiography in one patient with diabetic foot]

Zhonghua Nei Ke Za Zhi. 2021 Feb 1;60(2):150-152. doi: 10.3760/cma.j.cn112138-20200228-00150.
[Article in Chinese]

Abstract

患者女性,44岁。行下肢动脉造影后2h出现心悸、全身不适,3h出现剧烈腰痛伴烦躁不安及大汗,4h右肾区叩痛明显,右侧腰背部可触及一个大而软的肿块,血压降至88/57 mmHg(1 mmHg=0.133 kPa),急诊彩色超声显示右肾周见约9.9 cm×5.6 cm弱回声团,提示右肾肾周血肿,立即给予止血、输血及扩容,并行急诊右肾动脉造影术,显示右肾下极靠近包膜处可见一血管畸形,造影剂外溢,给予弹簧圈栓塞治疗。术后继续对症处理,病情稳定出院,出院随访10个月,未见任何不适。.

MeSH terms

  • Angiography, Digital Subtraction
  • Diabetes Mellitus*
  • Diabetic Foot* / diagnostic imaging
  • Hemorrhage
  • Humans
  • Lower Extremity / diagnostic imaging