J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 404KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 94(4): 420-423, 1993

Case report

A CASE REPORT OF SPONTANEOUS RUPTURE OF BILATERAL LUMBAR ARTERY IN A PATIENT WITH VON RECKLINGHAUSEN DISEASE

1) Department of Surgery, Osaka General Hospital of West Japan Railway Company, Osaka, Japan
2) Department of Ragiology, Osaka General Hospital of West Japan Railway Company, Osaka, Japan

Yoshihiro Shimizu1), Tsuguo Tanaka1), Akira Nakae1), Hirosumi ltoi1), Suguru Matsui1), Masato Fujita2), Shoichi Akimoto2)

Vascular complications in von Recklinghausen disease are rare, especially spontaneous rupture of a major artery. A 50-year-old man with previously diagnosed neurofibromatosis was admitted because of spontaneous rt-sided lumbago, paresthesia in rt-lower limb and severe anemia. Angiographic studies, CT and MRI revealed pseudo-aneurysm of bilateral lumbar arteries, which ruptured into the psoas muscle. Both arteries were ligated and hematoma was removed. The pathogenesis of the spontaneous rupture is discussed.

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