Renal artery pseudoaneurysm following robot assisted nephron sparing surgery: two case reports
Abstract Background Renal artery pseudoaneurysm following partial nephrectomy is a rare entity, the incidence of this entity is more common following penetrating abdominal injuries, percutaneous renal interventions such as percutaneous nephrostomy(PCN) or Percutaneous nephrolithotomy (PCNL). Althoug...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-024-04510-6 |
| _version_ | 1797199433550528512 |
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| author | Ravi Mohan Mavuduru Shiraz Akif Mohd Ziauddin Girdhar Singh Bora Ujjwal Gorsi |
| author_facet | Ravi Mohan Mavuduru Shiraz Akif Mohd Ziauddin Girdhar Singh Bora Ujjwal Gorsi |
| author_sort | Ravi Mohan Mavuduru |
| collection | DOAJ |
| description | Abstract Background Renal artery pseudoaneurysm following partial nephrectomy is a rare entity, the incidence of this entity is more common following penetrating abdominal injuries, percutaneous renal interventions such as percutaneous nephrostomy(PCN) or Percutaneous nephrolithotomy (PCNL). Although rare, renal artery pseudoaneurysm can be life threatening if not managed timely, they usually present within two weeks postoperatively with usual presenting complains being gross haematuria, flank pain and/or anaemia. Case presentation We report case of two female patients 34 and 57 year old respectively of South Asian ethnicity, presenting with renal artery pseudoaneurysm following left sided robot assisted nephron sparing surgery for interpolar masses presenting clinically with total, painless, gross haematuria with clots within fifteen days postoperatively and their successful treatment by digital subtraction angiography and coil embolization. Conclusion Renal artery aneurysm is a rare fatal complication of minimally invasive nephron sparing surgery however considering the preoperative and intraoperative risk factors for its development and prompt suspicion at the outset can be life saving with coil embolization of the bleeding arterial aneurysm. |
| first_indexed | 2024-04-24T07:15:41Z |
| format | Article |
| id | doaj.art-e307bef79a754317b59eae423b820540 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-24T07:15:41Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-e307bef79a754317b59eae423b8205402024-04-21T11:20:06ZengBMCJournal of Medical Case Reports1752-19472024-04-011811510.1186/s13256-024-04510-6Renal artery pseudoaneurysm following robot assisted nephron sparing surgery: two case reportsRavi Mohan Mavuduru0Shiraz Akif Mohd Ziauddin1Girdhar Singh Bora2Ujjwal Gorsi3Department of Urology, PGIMERDepartment of Urology, AIIMSDepartment of Urology, PGIMERDepartment of Radiodiagnosis, PGIMERAbstract Background Renal artery pseudoaneurysm following partial nephrectomy is a rare entity, the incidence of this entity is more common following penetrating abdominal injuries, percutaneous renal interventions such as percutaneous nephrostomy(PCN) or Percutaneous nephrolithotomy (PCNL). Although rare, renal artery pseudoaneurysm can be life threatening if not managed timely, they usually present within two weeks postoperatively with usual presenting complains being gross haematuria, flank pain and/or anaemia. Case presentation We report case of two female patients 34 and 57 year old respectively of South Asian ethnicity, presenting with renal artery pseudoaneurysm following left sided robot assisted nephron sparing surgery for interpolar masses presenting clinically with total, painless, gross haematuria with clots within fifteen days postoperatively and their successful treatment by digital subtraction angiography and coil embolization. Conclusion Renal artery aneurysm is a rare fatal complication of minimally invasive nephron sparing surgery however considering the preoperative and intraoperative risk factors for its development and prompt suspicion at the outset can be life saving with coil embolization of the bleeding arterial aneurysm.https://doi.org/10.1186/s13256-024-04510-6PseudoaneurysmAngioembolizationNephron sparing surgeryDigital subtraction angiography |
| spellingShingle | Ravi Mohan Mavuduru Shiraz Akif Mohd Ziauddin Girdhar Singh Bora Ujjwal Gorsi Renal artery pseudoaneurysm following robot assisted nephron sparing surgery: two case reports Journal of Medical Case Reports Pseudoaneurysm Angioembolization Nephron sparing surgery Digital subtraction angiography |
| title | Renal artery pseudoaneurysm following robot assisted nephron sparing surgery: two case reports |
| title_full | Renal artery pseudoaneurysm following robot assisted nephron sparing surgery: two case reports |
| title_fullStr | Renal artery pseudoaneurysm following robot assisted nephron sparing surgery: two case reports |
| title_full_unstemmed | Renal artery pseudoaneurysm following robot assisted nephron sparing surgery: two case reports |
| title_short | Renal artery pseudoaneurysm following robot assisted nephron sparing surgery: two case reports |
| title_sort | renal artery pseudoaneurysm following robot assisted nephron sparing surgery two case reports |
| topic | Pseudoaneurysm Angioembolization Nephron sparing surgery Digital subtraction angiography |
| url | https://doi.org/10.1186/s13256-024-04510-6 |
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