Lee S, Jung S, Kim HJ, Jang HN, Park DJ, Bae E, Lee TW, Chang SH. Spontaneous rupture of a renal artery pseudoaneurysm in a hemodialysis patient: A case report.
Medicine (Baltimore) 2021;
100:e25970. [PMID:
34011081 PMCID:
PMC8136987 DOI:
10.1097/md.0000000000025970]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Accepted: 04/28/2021] [Indexed: 01/05/2023] Open
Abstract
RATIONALE
Renal artery pseudoaneurysm is a rare vascular lesion usually caused by trauma or percutaneous urological procedures. Spontaneous rupture of pseudoaneurysms without predisposing events, especially in hemodialysis patients, has rarely been reported.
PATIENT CONCERNS
A 25-year-old man receiving maintenance hemodialysis visited the emergency room because of sudden severe right flank pain. He had no history of trauma or urological procedures except for a left renal biopsy to diagnose Alport syndrome 10 years prior.
DIAGNOSIS
Contrast-enhanced computed tomography revealed a right perirenal hematoma with pseudoaneurysms.
INTERVENTIONS
On renal angiography, multiple pseudoaneurysms were observed in the right renal artery branches and embolization was performed.
OUTCOMES
Post-angiography showed no pseudoaneurysms. His abdominal pain improved, and he was discharged 2 weeks after embolization.
LESSONS
When maintenance dialysis patients complain of severe abdominal pain, spontaneous rupture of a renal pseudoaneurysm should be considered as a differential diagnosis, even if the patient has no history of trauma or previous urological procedures.
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