肾动脉栓塞联合剖腹探查成功救治肾活检后肾后位结肠大出血:1例报告

Renal artery embolization with exploratory laparotomy for management of massive colonic hemorrhage after renal biopsy:a case report

报告1例肾动脉栓塞联合剖腹探查抢救肾活检后肾后位结肠大出血成功的病例。提示在肾活检大出血的病例中,应警惕少见的解剖异常如肾后位结肠,及其所带来的结肠损伤出血的风险。本例中,肾动脉栓塞联合剖腹探查可快速精准止血,最大限度避免器官切除,挽救生命。

 We report a case of massive colonic hemorrhage after renal biopsy managed by renal artery embolization combined with exploratory laparotomy. Clinicians must be alert for such rare anatomical abnormalities as ectopic colon behind the kidney and the risk of colonic hemorrhage following renal biopsy. In this case, artery embolization combined with exploratory laparotomy successfully and quickly stopped the bleeding and avoided possible organ resection.