Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492013000200012
Jornal Vascular Brasileiro
Case report

Giant renal artery pseudoaneurysm 18 months after blunt trauma

Pseudoaneurisma gigante de arteria renal apos 18 meses de trauma contuso

Rodrigo Andrade Vaz de Melo; Marcio Jose de Magalhaes Pires; Leandro Moreno Silveira Da Silva; Angelica Baptista Segovia

http://dx.doi.org/10.1590/S1677-54492013000200012 J Vasc Bras, vol.12, n2, p.159-162, 2013
PDF English
PDF Português
SciELO
Downloads: 0
Views: 1184

Abstract

Renal artery pseudoaneurysms are uncommon vascular lesions that require a high degree of suspicion because they are usually difficult to diagnose. Posttraumatic renal artery pseudoaneurysms should be treated because spontaneous resolution is extremely unusual, and the risk of aneurysm rupture is high. We describe the case of a patient who presented with a pulsatile mass in the right upper quadrant and recurrent abdominal pain 18 months after blunt trauma. Arteriography and multislice computed tomography angiography revealed a pseudoaneurysm measuring 22 cm in the right renal artery. The patient was successfully treated with conventional open surgery.

Keywords

giant pseudoaneurysm, renal artery, blunt trauma

Resumo

Pseudoaneurismas de artéria renal são lesões vasculares pouco comuns, que geralmente demandam alto grau de suspeição, por serem de difícil diagnóstico. Considerando a baixa expectativa de resolução espontânea dos PARs pós-traumáticos, aliada ao importante risco de rotura, faz-se necessária a correção destas lesões. Apresentamos o caso de um paciente, vítima de trauma contuso há 18 meses, com queixa de massa pulsátil em hipocôndrio direito associado a dor abdominal recorrente. Depois da arteriografia e angiotomografia multislice, foi diagnosticado um pseudoaneurisma de artéria renal direita com 22 cm de extensão, sendo então submetido a tratamento cirúrgico por via aberta convencional, com sucesso terapêutico.

Palavras-chave

pseudoaneurisma gigante, arteria renal, trauma contuso

Referências

Pastorín R, Rodríguez N, Polo AM, Vicente JM, Luján M. Posttraumatic giant renal pseudoaneurysm. Emerg Radiol. ;14(2):117-21.

Albani JM, Novick AC. Renal artery pseudoaneurysm after partial nephrectomy: three case reports and a literature review. Urology. ;62(2):227-31.

Shapiro EY, Hakimi AA, Hyams ES, Cynamon J, Stifelman M, Ghavamian R. Renal artery pseudoaneurysm following laparoscopic partial nephrectomy. Urology. ;74(4):819-23.

Madhusudhan KS, Sharma S, Seth A. Spontaneous closure of a traumatic intrarenal pseudoaneurysm. J Postgrad Med. ;55(2):124-26.

Lee RS, Porter JR. Traumatic renal artery pseudoaneurysm: Diagnosis and management techniques. J Trauma. ;55:972-78.

Jebara VA, El Rassi I, Achouh PE, Chelala D, Tabet G, Karam B. Renal artery pseudoaneurysm after blunt abdominal trauma. J Vasc Surg.. ;27:362-65.

Miller DC, Forauer A, Faerber GJ. Successful angioembolization of renal artery pseudoaneurysms after blunt abdominal trauma. Urology.. ;59:444-46.

Lee DG, Lee SJ. Delayed hemorrhage from a pseudoaneurysm after blunt renal trauma. Int J Urol. ;12(10):909-11.

Saad NEA, Saad WEA, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysmsand the role of minimally invasive techniques in their management. Radiographics.. ;25:S173-S189.

Patterson DE, Segura WJ, LeRoy AJ, Benson RC Jr, May G. The etiology and treatment of delayed bleeding following percutaneous lithotripsy. J Urol.. ;133:447-51.

Wright JL, Porter JR. Renal artery pseudoaneurysm after laparoscopic partial nephrectomy. Urology. ;66(5):1109-109.

Ansari MS, Dodamani D, Seth A. Giant pseudoaneurysm of posterior division of renal artery: a rare complication of pyelolithotomy. Int Urol Nephrol.. ;32(3):337-40.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddedd850e882558797279a1 jvb Articles
1677-7301 (Eletrônico)
J Vasc Bras ©2024 Todos os direitos reservados.

J Vasc Bras

Share this page
Page Sections