Renal artery pseudoaneurysm occurring after partial nephrectomy.
Retroperitoneal hemorrhage resulting from intrarenal pseudoaneurysm formation has been reported after percutaneous renal surgery. However, although hemorrhage is a well-recognized complication of partial nephrectomy, hemorrhage caused by an intrarenal pseudoaneurysm after open partial nephrectomy is rare. We report a case of retroperitoneal hematoma associated with a renal artery pseudoaneurysm occurring in a 56-year-old woman 2.5 weeks after she underwent left partial nephrectomy for renal cell carcinoma. The pseudoaneurysmal branch was successfully identified and selectively embolized using percutaneous renal arterial angiography.
Parsons
J K
JK
James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Schoenberg
M P
MP
D015746:Abdominal Pain / Q000209:etiology; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D002292:Carcinoma, Renal Cell / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging*; D015607:Stents