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英文誌(2004-)

Journal of Medical Ultrasonics

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1993 - Vol.20

Vol.20 No.09

Case Report(症例報告)

(0523 - 0532)

肝・腎嚢胞に対する超音波誘導下エタノール注入療法により高血圧症が改善した嚢胞腎の1例

Effective Ethanol Injection Therapy for Hepatorenal Cysts for Treatment of Hypertension in A Patient with Polycystic Kidney Disease

石橋 裕二1, 道免 和文2, 山野 裕二郎1, 長野 政則1, 石橋 大海3

Yuji ISHIBASHI1, Kazufumi DOHMEN2, Yujiro YAMANO1, Masanori NAGANO1, Hiromi ISHIBASHI3

1九州厚生年金病院内科, 2国家公務員等共済組合連合会 浜の町病院内科, 3九州大学医学部第1内科

1Department of Internal Medicine, Kyushu Koseinenkin Hospital, 2Department oHnternal Medicine, Hamanomachi General Hospital, 3The First Department of Internal Medicine, Faculty of Medicine, Kyushu University

キーワード : Ethanol injection therapy, Polycystic kidney disease, Hypertension

A 50 year-old Japanese female was admitted to our hospital because of hypochondralgia and back pain. A diagnosis of polycystic kidney disease was made upon imaging examinations. The patient had hypertension. Following ultrasound-guided percutaneous aspiration of the cystic fluid, a treatment with 99.5% ethanol for cysts in liver and kidneys was administered. Dramatic relief of the pain was obtained and blood pressure improved after the treatment. There were no complications during or after this procedure. Reduction of cyst volume with ethanol injection is the treatment of choice for those patients with polycystic kidney disease showing symptoms or hypertension.