Development of ileocolic artery pseudoaneurysm after renal biopsy

Junya Fuchigami, MD; Shinji Wada, MD; Hikaru Ishida, MD; Kazuki Hashimoto, MD; Keisuke Yoshida, MD; Kaori Kohatsu, MD, PhD; Hidefumi Mimura, MD

Radiology Case Reports (Nov 2022)

Development of ileocolic artery pseudoaneurysm after renal biopsy

Junya Fuchigami, MD,
Shinji Wada, MD,
Hikaru Ishida, MD,
Kazuki Hashimoto, MD,
Keisuke Yoshida, MD,
Kaori Kohatsu, MD, PhD,
Hidefumi Mimura, MD

Affiliations

Junya Fuchigami, MD: Department of Radiology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae, Kawasaki, Kanagawa, 216-8511, Japan; Corresponding author.
Shinji Wada, MD: Department of Radiology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae, Kawasaki, Kanagawa, 216-8511, Japan
Hikaru Ishida, MD: Department of Radiology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae, Kawasaki, Kanagawa, 216-8511, Japan
Kazuki Hashimoto, MD: Department of Radiology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae, Kawasaki, Kanagawa, 216-8511, Japan
Keisuke Yoshida, MD: Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Kaori Kohatsu, MD, PhD: Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan
Hidefumi Mimura, MD: Department of Radiology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae, Kawasaki, Kanagawa, 216-8511, Japan

Journal volume & issue: Vol. 17, no. 11
pp. 4413 – 4416

Abstract

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The rate of bleeding complications related to percutaneous native renal biopsy is low, and pseudoaneurysms of the extrarenal arteries are rare. There have been a few reports of extrarenal artery injuries related to renal biopsy; however, to the best of our knowledge, there have not been any reports of injuries to the ileocolic artery or multiple injuries to extrarenal arteries. Herein, we report the case of an 87-year-old man who developed multiple vascular injuries: an arteriovenous fistula at the lower pole of the right kidney, pseudoaneurysms of the second lumbar artery, and an ileocolic artery 19 days after renal biopsy. Although identifying an ileocolic artery pseudoaneurysm was slightly delayed due to its rarity, all vascular injuries were successfully embolized with microcoils.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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