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Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm
Umberto Pisano1, V-Liem Soon2, Peter Douglas1
1Interventional Radiology Department, Queen Elizabeth University Hospital, 1345 Govan Road, G51 4TF, Glasgow, United Kingdom.
Abstract:
Pseudoaneurysms are rare complications in urological surgery. Typically, they would present with pain, haematuria or anaemia. We report a 60-year-old patient who was found to have a chronic pseudoaneurysm via a corona mortis vascular variant, 3 months after a robotic-assisted prostatectomy. Unlike other rare reports of delayed vascular complications after minimally invasive urological surgery, the patient was entirely asymptomatic.Apart from careful intraoperative dissection, a high index of suspicion and low threshold for imaging are also required in the follow up period. Percutaneous trans-arterial embolization is safe and effective in dealing with post-surgical pseudoaneurysms.
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