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Updated: Oct 6, 2025
09:02
A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
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Renal artery pseudoaneurysms post percutaneous nephrolithotomy: A case report.
Amal Rami1, Mariam Kassimi1, Jihane Habi1
1Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco.
Radiology Case Reports
|January 21, 2022
Summary
A rare complication of kidney stone removal surgery (Percutaneous Nephrolithotomy) is a pseudoaneurysm, an abnormal bulge in a blood vessel. This case study highlights successful endovascular embolization to treat this vascular injury, preserving kidney function.
Area of Science:
- Urology
- Interventional Radiology
- Nephrology
Background:
- Percutaneous Nephrolithotomy (PCNL) is a common procedure for large kidney stones.
- Iatrogenic Renal Vascular Injuries, including pseudoaneurysms (1-3%), are known risks of PCNL.
- Pseudoaneurysms can lead to serious complications like hematuria.
Observation:
- A 49-year-old male presented with hematuria following PCNL.
- Computed tomography renal angiography revealed a pseudoaneurysm in the lower pole of the left kidney.
- Digital subtraction angiography confirmed the diagnosis.
Findings:
- Super selective endovascular embolization was successfully performed.
- The procedure preserved the remaining vascularization of the kidney.
- No postoperative complications were observed.
Implications:
- Endovascular embolization is an effective treatment for post-PCNL pseudoaneurysms.
- This minimally invasive approach can successfully manage renal vascular injuries.
- Preserving kidney vascularization is crucial for optimal patient outcomes.
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