KRONİK BÖBREK YETMEZLİKLİ OLGUDA ABDOMİNAL AORTA ANEVRİZMASI RÜPTÜRÜ VE NEFROLİTİAZİS BİRLİKTELİĞİ

Yıl 2015, Cilt: 4 Sayı: 3, 166 - 168, 31.12.2015

Hüseyin Kurt Ömer Toprak Taha Gürbüzer Gencehan Kumtepe Davut Demirkıran Yasin Sarı

Öz

Sıklıkla asemptomatik seyreden nefrolitiazis nadiren karın ağrısı yakınmasına neden olur. Abdominal aorta anevrizma (AAA) rüptürü şiddetli karın ağrısı yakınmasına neden olabilen ölümcül bir tablodur. Her iki hastalığın tanısında bilgisayarlı tomografinin tanısal değeri yüksek olup AAA’da kontrast madde kullanılarak bilgisayarlı tomografik (BT) anjiyografi uygulanılmaktadır. Böbrek fonksiyon bozukluğu olan hastalarda kontrast madde kullanımı nefropatiye neden olabileceğinden tanısal amaçlı BT anjiyografi kullanılacaksa kontrast nefropati koruyucu önlemler alınarak işlem uygulanmalıdır. Bu yazımızda son dönem böbrek yetmezliği tanılı, karın ağrısı yakınması ile gelen aynı anda nefrolitiazis ve 4 cm’nin altında olan AAA rüptürü tespit edilen olgunun tanı ve tedavi yaklaşımını sunacağız.

Anahtar Kelimeler

Son dönem böbrek yetmezliği, abdominal aorta anevrizması rüptürü, nefrolitiazis, kontrast nefropati.

A CASE OF ABDOMINAL AORTIC ANEURYSM RUPTURE WITH CONCURRENT NEPHROLITHIASIS IN A PATIENT WITH CHRONIC RENAL FAILURE

Öz

Nephrolithiasis while usually asymptomatic may sometimes present with mild abdominal pain. Aortic abdominal aneurysm (AAA) rupture however presents with intense abdominal pain and is a fatal condition. In both conditions computed tomography (CT) is highly diagnostic and contrast CT angiography is used to diagnose abdominal aortic aneurysms. In renal dysfunction extra measures need to be taken in order to use contrast agents. We present a case of a patient with end stage renal failure with nephrolithiasis and an AAA rupture fewer than 4 cm and highlight our diagnostic and treatment methods.

Anahtar Kelimeler

End stage renal disease, abdominal aortic aneurysm, nephrolithiasis, contrast nephropathy.

Kaynakça

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