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[Iliac pseudoaneurysm in non-functioning renal graft 10 years after embolization]
L M Marco Pérez1, L Riera Canals, A Romera Villegas
1Servicio de Urología, Ciutat Sanitaria i Universitaria de Bellvitge, L'Hospitalet de Llobregat, Barcelona.
Actas Urologicas Espanolas
|January 5, 2002
Summary
Arterial pseudoaneurysms are rare after kidney transplants, occurring either inside or outside the kidney. A case of a delayed iliac pseudoaneurysm in a previously embolized kidney transplant highlights the need for urgent surgical intervention.
Area of Science:
- Vascular Surgery
- Nephrology
- Transplantation Medicine
Background:
- Arterial pseudoaneurysms are uncommon complications following renal transplantation.
- These can be categorized as intrarenal or extrarenal based on location.
- Intrarenal pseudoaneurysms are linked to percutaneous needle biopsies, while extrarenal ones stem from vascular anastomosis issues or surgical site infections.
Observation:
- This report details a case of an iliac artery pseudoaneurysm.
- The pseudoaneurysm occurred in a non-functional kidney allograft.
- The patient had undergone embolization ten years prior to presentation.
Findings:
- Delayed presentation of arterial pseudoaneurysm in a renal allograft is possible.
- Iliac pseudoaneurysms in transplanted kidneys require prompt recognition.
Implications:
- This case underscores the potential for late-onset vascular complications after renal transplantation.
- Urgent surgical management is critical for pseudoaneurysms due to their clinical severity.
- Awareness of these rare complications is essential for transplant surgeons and nephrologists.