医学
假性动脉瘤
肾切除术
肾动脉
栓塞
放射科
血管平滑肌脂肪瘤
外科
并发症
经皮
肾
内科学
作者
Kevin C. Zorn,Christopher Starks,Ofer N. Gofrit,Marcelo A. Orvieto,Arieh L. Shalhav
出处
期刊:Journal of Endourology
[Mary Ann Liebert]
日期:2007-07-01
卷期号:21 (7): 763-768
被引量:43
标识
DOI:10.1089/end.2006.0332
摘要
Background: Renal-artery pseudoaneurysm (RAP) is a well-described complication of trauma or percutaneous urologic procedures. Delayed bleeding from an RAP is rare after partial nephrectomy. Case Report: We present a 49-year-old woman who, 24 days after undergoing a laparoscopic right partial nephrectomy for a mesophytic 2.5-cm tumor, developed gross hematuria. Prompt CT imaging, followed by therapeutic angio-embolization of a third-order segmental renal artery with coils, treated the pseudoaneurysm successfully. Conclusions: Renal-artery pseudoaneurysm is a rare, potentially life-threatening, condition that often is difficult to diagnose and requires a high index of clinical suspicion. Early use of selective angio-embolization minimizes morbidity and maximizes renal conservation. The etiology, diagnosis, and management are discussed.
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