Hidden Renal Artery Pseudoaneurysm: The Need for Repeat Angiographic Intervention in a Symptomatic Patient

Ankur Doshi, Madeleine G. Manka, Christian Pavlovich, Martin Auster

Research output: Contribution to journalArticle

Abstract

Renal artery pseudoaneurysm (RAP) is a well-known and life-threatening complication of partial nephrectomies. Angioembolization is the preferred intervention, allowing for visualization, diagnosis, and treatment in 96% of cases. We report a case of a pseudoaneurysm that was difficult to diagnose even with optimal technique, requiring repeat imaging and additional angiographic intervention. Our case shows that RAP after partial nephrectomies may be difficult to diagnose even with high suspicion and appropriate technique. Repeat angiography may be required. Urologists and interventional radiologists together must keep RAP high on the differential even after a negative angiogram to adequately diagnose and treat symptomatic patients.

Original languageEnglish (US)
Pages (from-to)54-55
Number of pages2
JournalUrology Case Reports
Volume12
DOIs
Publication statusPublished - May 1 2017

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Keywords

  • Coil embolization
  • Partial nephrectomy
  • Renal artery pseudoaneurysm

ASJC Scopus subject areas

  • Urology

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