Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock

Andrea McSweeney, BS; Anand Tarpara, MD; Dawn Salvatore, MD; Paul DiMuzio, MD; Michael Nooromid, MD; Babak Abai, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2022)

Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock

Andrea McSweeney, BS,
Anand Tarpara, MD,
Dawn Salvatore, MD,
Paul DiMuzio, MD,
Michael Nooromid, MD,
Babak Abai, MD

Affiliations

Andrea McSweeney, BS: Jefferson Vascular Center, Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA
Anand Tarpara, MD: Jefferson Vascular Center, Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA
Dawn Salvatore, MD: Jefferson Vascular Center, Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA
Paul DiMuzio, MD: Jefferson Vascular Center, Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA
Michael Nooromid, MD: Jefferson Vascular Center, Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA
Babak Abai, MD: Correspondence: Babak Abai, MD, FACS, FSVS, Jefferson Vascular Center, Division of Vascular and Endovascular Surgery, Thomas Jefferson University, 111 S 11th St, Philadelphia, PA 19107; Jefferson Vascular Center, Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA

Journal volume & issue: Vol. 8, no. 2
pp. 210 – 213

Abstract

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Renal artery pseudoaneurysms have been infrequently reported in the literature. In the present report, we have described a case of a ruptured renal artery pseudoaneurysm requiring coil embolization. A 49-year-old man had presented to our institution with a hypertensive emergency. Computed tomography revealed a 3.4-cm right renal artery pseudoaneurysm. Nonemergent coil embolization was planned for the following day. However, he became hypotensive, exsanguinating frank blood from the urethra. An arteriogram showed extravasation of contrast into the pseudoaneurysm sac, renal pelvis, and ureter, consistent with intrarenal pseudoaneurysm rupture. We have demonstrated coil embolization as a method of repairing a ruptured renal artery pseudoaneurysm with gross hematuria.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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