Radiology Case Reports (May 2021)

Corona mortis injury causing delayed presentation of pelvic pseudoaneurysm

  • Umberto Pisano, MD, MSc, MRCS, FRCR,
  • V-Liem Soon, MBChB, FRCR,
  • Peter Douglas, MBChB, MRCP, FRCR

Journal volume & issue
Vol. 16, no. 5
pp. 1095 – 1098

Abstract

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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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