ABSTRACT
A renal artery pseudoaneurysm is a rare but important complication that can occur after renal trauma, renal biopsy, percutaneous nephrostomy, percutaneous nephrolithotomy (PCNL), and partial nephrectomy. The incidence of this potentially life-threatening complication is less than 1%, but is likely to increase with the increasing popularity of endoscopic renal procedures. We present a case of a 30-year female who underwent right PCNL for a right renal pelvic stone. Two weeks later, she presented with massive hematuria. Renal angiography revealed psuedoanurysm of interlobar artery which was successfully treated with coil embolization.
Subject(s)
Aneurysm, False/therapy , Hematuria/etiology , Kidney Calculi/surgery , Kidney Pelvis/surgery , Nephrostomy, Percutaneous/adverse effects , Renal Artery , Adult , Aneurysm, False/diagnosis , Aneurysm, False/etiology , Angiography , Embolization, Therapeutic/methods , Female , Humans , Kidney Calculi/diagnosis , Nephrostomy, Percutaneous/methods , Postoperative Complications , Treatment OutcomeABSTRACT
We describe a case of a 26-year man with complaints of suprapubic pain and burning micturition for two weeks and intermittent hematuria for two months. On physical examination, there was palpable mobile pelvic mass measuring 10x10 cm. Both testes were palpable in the scrotum. CT scan abdomen revealed well-defined, soft tissue mass, about 11x10 cm between rectum and urinary bladder. Mass showed internal necrotic changes and enhancement along the walls. No calcification was seen. Exploratory laparotomy was done. Tumour mass was nodular tissue weighing 194 gm. Diagnosis was confirmed histologically showing yolk sac tumor. Postoperatively, tumour markers were normal. MRI pelvis revealed no residual tumor.
