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Recurrent bleeding from intercostal arterial pseudoaneurysm after retroperitoneal laparoscopic radical nephrectomy
R Bluebond-Langner1, P A Pinto, F J Kim
1James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Urology
|December 12, 2002
Summary
A 59-year-old man experienced recurrent bleeding post-nephrectomy. Intercostal artery pseudoaneurysm was diagnosed and resolved with conservative management, confirmed by angiography.
Area of Science:
- Urology
- Vascular Surgery
- Radiology
Background:
- Recurrent bleeding can complicate retroperitoneal laparoscopic nephrectomy.
- Identifying the source of post-operative hemorrhage is crucial for effective management.
Observation:
- A 59-year-old male presented with recurrent bleeding after retroperitoneal laparoscopic nephrectomy.
- Computed tomography and Doppler ultrasonography were utilized for diagnostic imaging.
Findings:
- Diagnostic imaging confirmed an intercostal artery pseudoaneurysm as the source of bleeding.
- Follow-up angiography one month later showed complete resolution of the pseudoaneurysm.
Implications:
- Conservative management can be effective for managing post-nephrectomy intercostal artery pseudoaneurysms.
- This case highlights the importance of advanced imaging in diagnosing rare vascular complications.
- Minimally invasive surgical techniques require vigilance for potential vascular sequelae.