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. ResumoPseudoaneurismas 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; artéria renal; trauma contuso.

Intestinal malrotation consists of a congenital alteration resulting from failure during the return of the intestine to the abdominal cavity after its formation during embryogenesis. Rare are the cases of intestinal malrotation that are diagnosed in adult life, and it must be considered as an important differential diagnosis for intestinal obstruction in non-pediatric patients, given its potential for complications due to the diagnostic difficulty. This paper deals with the case of a 26-year-old patient with an acute obstructive abdomen who underwent the Ladd procedure for the treatment of intestinal malrotation, with good postoperative evolution, as well as a review of the current literature.

Blunt liver trauma is a recurrent pathology, with possible diverse anatomical involvements, which represents a challenge in therapeutic management. In this paper, the case of a 40-year-old female victim of blunt abdominal trauma with extensive liver injury is presented, and potential non-operative treatment is discussed despite its severity and mortality rates.

No abstract