Superselective Embolization of Pseudoaneurysm Following Percutaneous Nephrolithotomy (PCNL)- A Case Reort

Mohammad Gharib Salehi; Jamal Hoseini; Mahdi Mohammadi

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Superselective Embolization of Pseudoaneurysm Following Percutaneous Nephrolithotomy (PCNL)- A Case Reort

Author(s):

Mohammad Gharib Salehi¹,

Jamal Hoseini²,

Mahdi Mohammadi^1,*

1Dept. of Radiology, School of medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

2Clinical Research Developmental Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 16, issue 7; e77299

Published online:Feb 27, 2013

Article type:Case Report

Received:Jun 04, 2012

Accepted:Nov 20, 2012

How to Cite:Mohammad Gharib SalehiJamal HoseiniMahdi MohammadiSuperselective Embolization of Pseudoaneurysm Following Percutaneous Nephrolithotomy (PCNL)- A Case Reort.J Kermanshah Univ Med Sci.2013;16(7):e77299.

Abstract

Background: Percutaneous nephrolithotomy (PCNL) for renal calculi is less invasive treatment than open surgery. Vascular complications of this procedure include hematoma, pseudoaneurysm and arteriovenous fistula of which pseudoaneurysm is usually symptomatic 24h after procedure.

Case Report: We report a case of pseudoaneurysm, which was symptomatic within less than 24h following procedure and because of drop in hemoglobin and changes in hemodynamic status and resistance to conservative therapy, was a candidate for renal artery angiography. When definitive diagnosis of pseudoaneurysm was confirmed via angiography, treatment was done successfully by superselective embolization with microcoils and the patient was discharged with good general condition one day later.

Conclusion: Pseudoaneurysm as a rare vascular complication following PCNL , diagnosed by renal angiography within less than 24h and superselective embolization of it was done successfully.

Keywords

pseudoaneurysm

PCNL

angiography

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