Angio-embolization of renal artery pseudoaneurysm after renal biopsy: a case report.
Renal artery pseudoaneurysm is a rare clinical entity that has been reported after renal biopsy, percutaneous renal surgery, penetrating trauma, and rarely blunt renal trauma. We present the case of a 37-year-old man with ruptured renal artery pseudoaneurysm accompanied by massive gross hematuria, urinary clot retention, and bladder tamponade, which were the presenting signs seven hours after renal biopsy. Abdominal CT scan showed a large perinephric, intracapsular hematoma of left kidney. His angiogram revealed a left renal segmental artery pseudoaneurysm that measured 1 cm x 1 cm. He was successfully treated by selective embolization of the arterial branch supplying the pseudoaneurysm.
Mima
Akira
A
Department of Nephrology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima 770-8503, Japan. akiramima@clin.med.tokushima-u.ac.jp
Toma
Masanao
M
Matsubara
Takeshi
T
Shiota
Fumihiko
F
Iehara
Noriyuki
N
Abe
Hideharu
H
Nagai
Kojiro
K
Takahashi
Toshikazu
T
Matsuura
Motokazu
M
Murakami
Taichi
T
Kishi
Seiji
S
Araoka
Toshikazu
T
Kishi
Fumi
F
Kondo
Naoki
N
Shigeta
Reiko
R
Yoshikawa
Kazuhiro
K
Kimura
Takeshi
T
Kita
Toru
T
Doi
Toshio
T
Fukatsu
Atsushi
A
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000209:etiology / Q000628:therapy*; D001706:Biopsy / Q000009:adverse effects; D004621:Embolization, Therapeutic; D006801:Humans; D007668:Kidney / Q000473:pathology*; D007674:Kidney Diseases / Q000209:etiology / Q000473:pathology*; D008297:Male; D012077:Renal Artery; D012595:Scleroderma, Systemic / Q000150:complications*