Ruptured Renal Artery Stump Aneurysm in a Renal Autotransplanted Behcet's Disease Patient.
10.3349/ymj.2003.44.5.943
- Author:
Tae Won KWON
1
;
Do Kyun KIM
;
Sun Mo YANG
;
Kyu Bo SUNG
;
Geun Eun KIM
Author Information
1. Division of Vascular Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Poongnap-dong, Songpa-gu, Seoul, Korea. twkwon2@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Aneurysm;
rupture;
renal artery stump;
Behcet's disease
- MeSH:
Adult;
Anastomosis, Surgical/*adverse effects;
Aneurysm, Ruptured/*etiology;
Aortic Aneurysm, Abdominal/*surgery;
Behcet Syndrome/*complications/surgery;
Human;
Hypertension, Renal/surgery;
*Kidney Transplantation;
Male;
Recurrence;
*Renal Artery;
Transplantation, Autologous
- From:Yonsei Medical Journal
2003;44(5):943-945
- CountryRepublic of Korea
- Language:English
-
Abstract:
A recurrent aneurysm at the anastomosis site or the remaining artery frequently occurs after the operative treatment of an aneurysm in Behcet's disease despite anti-inflammatory medication. Herein, a ruptured left renal artery stump aneurysm in a patient with Behcet's disease, who received a left nephrectomy, aorto-biiliac bypass and heterotopic autotransplantation of the right kidney for the treatment of an abdominal aortic aneurysm and renal hypertension one year prior to this admission, is reported. An aneurysm and rupture occurred despite the administration of anti-inflammatory medications while monitoring of the clinical findings, such as skin manifestations, erythrocyte segmentation rate (ESR) and C-reactive protein (CRP). Although there is no definite proven treatment modality to prevent recurrent aneurysms at the anastomosis site or a remote artery, close follow-up with anti-inflammatory medications, and surveillance with regular intervals are the only current methods for the prevention and/or to treatment of an arterial complication in patients with Behcet's disease.
