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Esophageal Artery Pseudoaneurysm and Takayasu Arteritis in a Patient with Autosomal Dominant Polycystic Kidney Disease
A 47-year-old female previously diagnosed with ADPKD visited the hospital due to sudden pain in her upper abdomen and back. Esophagogastroduodenoscopy, contrast-enhanced abdominal computed tomography (CT), and CT angiography identified an esophageal artery pseudoaneurysm and hematoma in the esophagu...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Electrolyte Metabolism
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051944/ https://www.ncbi.nlm.nih.gov/pubmed/30046329 http://dx.doi.org/10.5049/EBP.2018.16.1.11 |
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author | Kim, Hyunsuk Yu, Yeonsil Shim, Kwang Eon Kim, Jin Eop Koh, Junga Yoon, Jong-Woo Ahn, Curie Oh, Yun Kyu |
author_facet | Kim, Hyunsuk Yu, Yeonsil Shim, Kwang Eon Kim, Jin Eop Koh, Junga Yoon, Jong-Woo Ahn, Curie Oh, Yun Kyu |
author_sort | Kim, Hyunsuk |
collection | PubMed |
description | A 47-year-old female previously diagnosed with ADPKD visited the hospital due to sudden pain in her upper abdomen and back. Esophagogastroduodenoscopy, contrast-enhanced abdominal computed tomography (CT), and CT angiography identified an esophageal artery pseudoaneurysm and hematoma in the esophagus. Urgent angiography and embolization were performed. After the procedure, CT angiography and positron emission tomography were performed due to differences in blood pressure between the arms. The patient was also found to have Takayasu arteritis and subsequently received outpatient follow-up care. The possible mechanisms that cause vascular abnormalities in ADPKD patients include damaged vascular integrity due to abnormal polycystin expression caused by PKD mutations and connective tissue abnormalities. Further research is needed to confirm these mechanisms, and ADPKD patients should be assessed for vascular abnormalities. |
format | Online Article Text |
id | pubmed-6051944 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Korean Society of Electrolyte Metabolism |
record_format | MEDLINE/PubMed |
spelling | pubmed-60519442018-07-25 Esophageal Artery Pseudoaneurysm and Takayasu Arteritis in a Patient with Autosomal Dominant Polycystic Kidney Disease Kim, Hyunsuk Yu, Yeonsil Shim, Kwang Eon Kim, Jin Eop Koh, Junga Yoon, Jong-Woo Ahn, Curie Oh, Yun Kyu Electrolyte Blood Press Case Report A 47-year-old female previously diagnosed with ADPKD visited the hospital due to sudden pain in her upper abdomen and back. Esophagogastroduodenoscopy, contrast-enhanced abdominal computed tomography (CT), and CT angiography identified an esophageal artery pseudoaneurysm and hematoma in the esophagus. Urgent angiography and embolization were performed. After the procedure, CT angiography and positron emission tomography were performed due to differences in blood pressure between the arms. The patient was also found to have Takayasu arteritis and subsequently received outpatient follow-up care. The possible mechanisms that cause vascular abnormalities in ADPKD patients include damaged vascular integrity due to abnormal polycystin expression caused by PKD mutations and connective tissue abnormalities. Further research is needed to confirm these mechanisms, and ADPKD patients should be assessed for vascular abnormalities. The Korean Society of Electrolyte Metabolism 2018-06 2018-06-30 /pmc/articles/PMC6051944/ /pubmed/30046329 http://dx.doi.org/10.5049/EBP.2018.16.1.11 Text en Copyright © 2018 The Korean Society of Electrolyte Metabolism http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Hyunsuk Yu, Yeonsil Shim, Kwang Eon Kim, Jin Eop Koh, Junga Yoon, Jong-Woo Ahn, Curie Oh, Yun Kyu Esophageal Artery Pseudoaneurysm and Takayasu Arteritis in a Patient with Autosomal Dominant Polycystic Kidney Disease |
title | Esophageal Artery Pseudoaneurysm and Takayasu Arteritis in a Patient with Autosomal Dominant Polycystic Kidney Disease |
title_full | Esophageal Artery Pseudoaneurysm and Takayasu Arteritis in a Patient with Autosomal Dominant Polycystic Kidney Disease |
title_fullStr | Esophageal Artery Pseudoaneurysm and Takayasu Arteritis in a Patient with Autosomal Dominant Polycystic Kidney Disease |
title_full_unstemmed | Esophageal Artery Pseudoaneurysm and Takayasu Arteritis in a Patient with Autosomal Dominant Polycystic Kidney Disease |
title_short | Esophageal Artery Pseudoaneurysm and Takayasu Arteritis in a Patient with Autosomal Dominant Polycystic Kidney Disease |
title_sort | esophageal artery pseudoaneurysm and takayasu arteritis in a patient with autosomal dominant polycystic kidney disease |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051944/ https://www.ncbi.nlm.nih.gov/pubmed/30046329 http://dx.doi.org/10.5049/EBP.2018.16.1.11 |
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