ABSTRACT
Renal artery aneurysm is a rare disease that can be found on routine examination. With development of interventional radiology, most cases of renal artery aneurysm had been treated with coil and stents. However, the use of coil and stents has a higher morbidity than surgical treatment and is anatomically restricted. A 62-year-old female had a scheduled visit the hospital to evaluate ongoing hypertension and upper abdominal pain. On computed tomography scan, a small aneurysmal dilatation was detected in the mid-portion of the left renal artery. We tried to correct this problem using radiologic intervention. However, the attempt had to be aborted because of the anatomical complexity of aneurysm location. During the operation, the aneurysmal sac was found to be located between the inferior border of pancreas and the upper border of the renal vein. After resection of the aneurysm, both ends of the artery were anastomosed directly without using any patches. The patient was discharged without any complications related to the operation. Radiologic intervention is now replacing traditional vascular surgery. However, there are limitations in conditions of anatomical difficulty and complexity.
Subject(s)
Female , Humans , Middle Aged , Abdominal Pain , Aneurysm , Arteries , Dilatation , Hypertension , Pancreas , Radiology, Interventional , Rare Diseases , Renal Artery , Renal Veins , StentsABSTRACT
Thirty-two rabbits were underwent cystic duct occlusion by means of Spermatic Duct Adhesive and gallbladder sclerotheraphy with one of two different regiments of ethanol and Xiao Zhi Ling injection.The results showed that all animal cystic ducts were successfully occluded except one failure on technological reason.Pathologic results showed that histologic changes were simillar in group A and group B with mucosal hyperemia and edema after two weeks.In group A gallbladder mucosa was completely destroyed and.In group B there were some remmants with intact histologic architecture.All happened after four weeks.At the 8th week gallbladders of group A were replaced by fibrous scar fissue, but only two in group B.Liver and kidney remained entirely unaffected simultaneously. The results indicated the gallbladder ablation through radiologic intervention by Ethanol and Xiao Zhi Ling injection was available and safety.The higher the concentration of the regi- ment the better woudl be the result.