Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm

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 o...

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Main Authors: Umberto Pisano, MD, MSc, MRCS, FRCR, V-Liem Soon, MBChB, FRCR, Peter Douglas, MBChB, MRCP, FRCR
Format: Article
Language:English
Published: Elsevier 2021-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321000819
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author Umberto Pisano, MD, MSc, MRCS, FRCR
V-Liem Soon, MBChB, FRCR
Peter Douglas, MBChB, MRCP, FRCR
author_facet Umberto Pisano, MD, MSc, MRCS, FRCR
V-Liem Soon, MBChB, FRCR
Peter Douglas, MBChB, MRCP, FRCR
author_sort Umberto Pisano, MD, MSc, MRCS, FRCR
collection DOAJ
description 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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spelling doaj.art-96724649032a48e4a32724b4d9cd194e2022-12-21T22:21:27ZengElsevierRadiology Case Reports1930-04332021-05-0116510951098Corona mortis injury causing delayed presentation of pelvic pseudoaneurysmUmberto Pisano, MD, MSc, MRCS, FRCR0V-Liem Soon, MBChB, FRCR1Peter Douglas, MBChB, MRCP, FRCR2Interventional Radiology Department, Queen Elizabeth University Hospital, 1345 Govan Road, G51 4TF, Glasgow, United Kingdom; Corresponding author.Diagnostic Radiology Department, Queen Elizabeth University Hospital, 1345 Govan Road, G51 4TF, Glasgow, United KingdomInterventional Radiology Department, Queen Elizabeth University Hospital, 1345 Govan Road, G51 4TF, Glasgow, United KingdomPseudoaneurysms 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.http://www.sciencedirect.com/science/article/pii/S1930043321000819Corona MortisRobotic ProstatectomyPseudoaneurysmEmbolization
spellingShingle Umberto Pisano, MD, MSc, MRCS, FRCR
V-Liem Soon, MBChB, FRCR
Peter Douglas, MBChB, MRCP, FRCR
Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm
Radiology Case Reports
Corona Mortis
Robotic Prostatectomy
Pseudoaneurysm
Embolization
title Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm
title_full Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm
title_fullStr Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm
title_full_unstemmed Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm
title_short Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm
title_sort corona mortis injury causing delayed presentation of pelvic pseudoaneurysm
topic Corona Mortis
Robotic Prostatectomy
Pseudoaneurysm
Embolization
url http://www.sciencedirect.com/science/article/pii/S1930043321000819
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