Bilateral calcified renal artery aneurysms in a patient with von Recklinghausen's disease
Bilateral calcified renal artery aneurysms in a patient with von Recklinghausen's disease
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DOI：
10.1093/ndt/gfh591
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发表时间：
2005-05-01
影响因子：
6.1
通讯作者：
Ito, S
中科院分区：
文献类型：
--
作者：
Tanemoto, M;Abe, T;Ito, S
一位68岁的女性，有纤维瘤皮损的家族病史，被推荐进行高血压的评估。通过对多发性纤维瘤皮损和咖啡色斑点的检测，诊断为von Reckinghausen病。由于她没有接受定期体检，高血压病史不得而知。腹部平片(图1A)双侧椎旁钙化圆形阴影提示继发性高血压，包括嗜铬细胞瘤是高血压的原因。腹部的计算机断层扫描(CT)显示，阴影反映了双肾门部的环状钙化(图1B)。增强CT重建图像显示这些环状钙化是双侧钙化的肾动脉动脉瘤，而不是椎旁肿瘤(图1C)。两个肾动脉均未检测到狭窄病变，进一步评估证实肾血流灌注正常。
A 68-year-old woman with family history of fibromatous skin lesions was referred for the evaluation of hypertension. With detection of multiple fibromatous skin lesions and cafe au lait spots, a diagnosis of von Recklinghausen’s disease was made. Because she had not undergone regular physical examination, the history of hypertension was unknown. Findings of bilateral paravertebral calcified round shadows in a plain abdominal radiograph (Figure 1A) indicated secondary hypertension including pheochromocytoma as a cause of hypertension. Computed tomography (CT) of the abdomen revealed that the shadows reflected ring-shaped calcifications at the hilus of both kidneys (Figure 1B). Reconstructed images of enhanced CT demonstrated these ring-shaped calcifications were bilateral calcified renal artery aneurysms but not paravertebral neoplasms (Figure 1C). No stenotic lesions were detected in either renal artery and proper renal perfusion was confirmed by further evaluation