The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

An Isolated Aneurysm of the Common Iliac Artery in a Patient on Hemodialysis

말기신부전 환자에서 발견된 국소적 총장골동맥류

  • Choi, Hyuk-Joon (Han Garam Internal Medicine Hospital) ;
  • Kim, Jun-Chul (Department of Internal Medicine, CHA Gumi Medical Center, CHA University) ;
  • Kim, Jong-Yeol (Department of Radiology, CHA Gumi Medical Center, CHA University) ;
  • Kim, Dong-Hoon (Department of Pathology, CHA Gumi Medical Center, CHA University) ;
  • Seo, An-Na (Department of Pathology, Kyungpook National University School of Medicine) ;
  • Kim, Duck-Sil (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University) ;
  • Kim, Sung-Wan (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, CHA University)
  • 최혁준 (한가람내과병원) ;
  • 김준철 (차의과학대학교 구미차병원 내과학교실) ;
  • 김종열 (차의과학대학교 구미차병원 영상의학교실) ;
  • 김동훈 (차의과학대학교 구미차병원 병리학교실) ;
  • 서안나 (경북대학교 의학전문대학원 병리학교실) ;
  • 김덕실 (차의과학대학교 구미차병원 흉부외과학교실) ;
  • 김성완 (차의과학대학교 구미차병원 흉부외과학교실)
  • Published : 2011.05.01
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Abstract

An isolated aneurysm of the iliac artery is a very rare disease that can occur as the result of atherosclerotic degeneration, mycosis,trauma, medial necrosis, fibrodysplasia, or Marfan syndrome. This abnormality is often asymptomatic, and it has a potential risk ofrupture. Since patients with chronic renal failure on hemodialysis have many comorbid conditions, the risk of rupture is increased.Here, we report the case of an isolated common iliac artery aneurysm that was caused by atherosclerosis in a patient on hemodialysis,and we review the relevant literature.

복부 대동맥류를 동반하지 않고 장골동맥에만 국소적으로 발생하는 동맥류는 매우 드문 질환이며, 이러한 국소적 장골동맥류의 원인으로는 죽상동맥경화증, 감염, 외상, 중막 변성 등이 있다. 해부학적으로 골반 내에 위치하기 때문에 쉽게 촉지되지 않으며 무증상인 경우가 많아서 대부분의 동맥류는 영상의학검사 등에서 우연히 발견되는 경우가 많으며, 조기 진단이 힘들어 파열의 위험성을 가지고 있다. 만성신부전 환자들은 동맥경화증을 가지는 경우가 많으며, 투석을 위한 응급혈관통로 시술을 필요로 할 수 있어, 동맥류가 있을 경우, 파열의 위험에 노출되어 있어 주의를 필요로 한다. 저자들은 요독증상으로 내원하여 만성 신부전 진단 후 혈액투석을 시작한 환자에서 우연히 발견된 국소적 총장골 동맥류를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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