A 66-year-old female who complained severe abdominal pain with hemorrhagic shock underwent emergency laparotomy. Further inspection revealed a ruptured aneurysm (φ3cm) of the main trunk of the right renal artery. To avoid the prolonged hemorrhagic shock status, a right nephrectomy was performed. The pathological examination revealed the fusiform atherosclerotic aneurysm of the renal artery located at 1cm proxymal from the hilm of the right kidney. Convalescence was uneventful. In previous reports, most cases with ruptured aneurysm of the renal artery underwent the nephrectomy. Although it is important to serve the renal function, we also performed the nephrectomy to limit the duration of shock status. The procedures such as aneurysmectomy with revascularization may apply on further cases, if possible.

In Japan there are many people who are intolerant to alcohol. Known as flushers, they do not genetically have low Km acetaldehyde dehydrogenase (AlDH₂). Flushers are judged easily and accurately by the alcohol patch test. An ethanol patch test carried out on agricultural and fishing populations in Japan showed that approx. 40% were deficient in AlDH₂. A questionnaire survey of the drinking behavior of many people showed significant differences between the normal AlDH₂ and AlDH₂-deficient groups. The normal group drinks positively and actively, while the deficient group drinks negatively and passively. As a result, there were significant differences in subjective and objective symptoms that result from drinking between the two groups: More frequent hangovers, abnormal physical conditions and higher KAST scores were seen in the normal group, and health examination showed higher values in liver function tests, including γ-GTP, and higher levels of blood pressure, HDL-cholesterol (HDL-C), etc., in the normal AlDH₂group.
It may be very useful for prevention of alcohol-related health disorders to help Mongoloid peoples, such as the Japanese, recognize whether their AlDH₂ is normal or deficient, which is as determined by the ethanol patch test.