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Related Experiment Videos

Postpyelolithotomy renal artery pseudo-aneurysm.

R Indudhara1, N Malik, G P Sharma

  • 1Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Urologia Internationalis
|January 1, 1989
PubMed
Summary
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A rare case of renal artery pseudoaneurysm occurred after pyelolithotomy surgery. This complication caused severe bleeding and required a nephrectomy to manage the emergency.

Area of Science:

  • Urology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Pyelolithotomy is a surgical procedure to remove kidney stones.
  • Complications can arise, including vascular injuries.
  • Pseudoaneurysms are a potential, though uncommon, post-operative risk.

Observation:

  • A patient developed massive hematuria and a flank mass seven days post-pyelolithotomy.
  • Imaging revealed a pseudoaneurysm of the right renal artery's posterior division.

Findings:

  • Selective renal arteriography confirmed a large pseudoaneurysm.
  • The pseudoaneurysm originated from the posterior division of the right renal artery.

Implications:

  • Renal artery pseudoaneurysms following pyelolithotomy are a serious complication.

Related Experiment Videos

  • Prompt diagnosis via arteriography is crucial.
  • Nephrectomy may be required to control life-threatening hemorrhage.