[A case report of spontaneous rupture of bilateral lumbar artery in a patient with von Recklinghausen disease].
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.
Shimizu
Y
Y
Department of Surgery, Osaka General Hospital, West Japan Railway Company.
Tanaka
T
T
Nakae
A
A
Itoi
H
H
Matsui
S
S
Fujita
M
M
Akimoto
S
S
D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008026:Ligation; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D009456:Neurofibromatosis 1 / Q000150:complications*; D012422:Rupture, Spontaneous