We present the case and radiologic images of a 64-year-old man who presented with gross hematuria and fever 2 months after undergoing retroperitoneal partial nephrectomy for a 4.7 × 4.6 cm papillary renal cell carcinoma. Angio-TC demonstrated an aneurysmatic dilatation of the anterior inferior segmental artery of the right kidney with an art-riovenous fistula; the patient was treated with angiography and selective cannulation by deploying 4 platinum coils. At follow-up, we used contrast-enhanced ultrasound to monitor coil embolization of the renal artery pseudoaneurysm.
AlbaniJ.M., NovickA.C.. Renal artery pseudoaneurysm after partial nephrectomy: three case reports and a literature review.Urology.2003; 62: 227–231.
2.
DindoD., DemartinesN., ClavienP.A.. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.Ann Surg.2004; 240: 205–13.
ShapiroE.Y., Ari HakimiA., HyamsE.S.Renal artery pseudoaneurysm following laparoscopic partial nephrectomy.Urology.2009; 74: 819–23.
5.
HelckA., HoffmannR.T., SommerW.H., NotohamiprodjoM., AlbyaaH., ReiserM., ClevertD.A.. Diagnosis, therapy monitoring and follow up of renal artery pseudoaneurysm with contrast-enhanced ultrasound in three cases.Clin Hemorheol Microcirc.2010; 46(2-3): 127–37.
