Renal artery pseudoaneurysm after blunt abdominal trauma

Jebara, Victor A.; Rassi, Issam El; Achouh, Paul; Chelala, Dania; Tabet, Georges; Karam, Boutros

doi:10.1016/s0741-5214(98)70368-4

Cited by 44 publications

(38 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In general, the incidence of this type of lesion as a consequence of penetrating trauma is higher than that resulting from blunt trauma 6,7 . The mechanism of lesion is often the violation of the abdominal cavity during partial nephrectomy, percutaneous procedures, renal biopsy or penetrating trauma 1,3 .…”

Section: Discussionmentioning

confidence: 92%

Giant renal artery pseudoaneurysm 18 months after blunt trauma

et al. 2013

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 92%

Giant renal artery pseudoaneurysm 18 months after blunt trauma

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The main causes of pseudoaneurysm are trauma and iatrogenic, and the increase in surgery operations especially contribute to the increase in the incidence rate (Farrell et al, 1996;Jebara et al, 1998;Albani and Novick, 2003;Treiber et al, 2003;Shapiro et al, 2009;Weissbart et al, 2009;Arroua et al, 2010;Netsch et al, 2010). Up to now, the pathogenesis of pseudoaneurysm is considered to be as follows: the artery damages and bleeding caused by factors, such as injury and infection lead to local hematoma, which is surrounded by soft tissues around it and then gradually develops into cavity with blood inside and capsule wall of fibrous connective tissue.…”

Section: Discussionmentioning

confidence: 99%

“…The vessel wall at the dilatation is thin and perforated that is prone to serious arterial damage and hemorrhage, making pseudoaneurysm a clinical emergency. Common causes of pseudoaneurysm are traumas (Farrell et al, 1996;Jebara et al, 1998;Weissbart et al, 2009), for example after surgery for cancer with fewer secondary renal artery pseudoaneurysms after kidney surgery (Albani and Novick, 2003;Treiber et al, 2003;Shapiro et al, 2009;Arroua et al, 2010;Netsch et al, 2010). Due to large blood flow in renal artery, once pseudoaneurysm is formed, it is prone to damages that can cause hemorrhage and endanger life.…”

Section: Introductionmentioning

confidence: 99%

Interventional Therapy for Renal Artery Pseudoaneurysms

Wang²,

Sun³

et al. 2012

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

The aim of this study was to explore the angiographic diagnosis and embolization therapy for renal artery pseudoaneurysms due to acute urinary tract hemorrhage after conservative medical management failed. Seven out of ten cases had fever symptoms after the kidney surgery. The pseudoaneurysms were treated with gelatin sponge and (or) spring coil and the majority demonstrated rapid blockage of hemorrhage. Angiography diagnosis and trans catheter embolization are rapid, safe and effective methods for diagnosis and treatment of renal artery pseudoaneurysms.

show abstract

“…In the literature, the longest time taken to make the diagnosis was reported by Jebara et al, in the case of a 25-year-old female who developed abdominal pain and hypertension 15 years after trauma. 21 Most of the cases remained undiagnosed during the initial hospital stay (18 out of 31 cases). Two of our cases were diagnosed during the hospital stay due to hematuria or in the follow-up period during recovery.…”

Section: -16mentioning

confidence: 98%

Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature

Yamaçake

Lucon

et al. 2013

Sao Paulo Med. J.

View full text Add to dashboard Cite

CONTEXT: Renal artery pseudoaneurysm is a rare complication after renal injury but should be suspected whenever there is recurrent hematuria after renal trauma. CASE REPORTS: We present three cases of pseudoaneurysm after blunt renal trauma and a review of the literature. All patients underwent renal angiography. Two cases were diagnosed during the initial hospital stay due to hematuria, or in the follow-up period during recovery. One patient was hemodynamically unstable. Two patients successfully underwent coil embolization in a single session. In the other case, selective embolization was attempted, but was unsuccessful because artery catheterization was impossible. Procedural and medical success and complications were retrospectively assessed from the patients' records. The clinical presentation, treatment options and clinical decisions are discussed. CONCLUSIONS: Renal artery pseudoaneurysm may develop acutely or even years after the initial injury. Signs and symptoms may have a wide spectrum of presentation. Selective angiographic embolization is an effective treatment that reduces the extent of parenchymal infarction.RESUMO CONTEXTO: Pseudoaneurisma de artéria renal é uma complicação rara após lesão renal, mas deve ser suspeitada quando houver hematúria recorrente após trauma renal. RELATO DE CASOS: Três casos de pseudoaneurisma após trauma renal fechado são apresentados, além de revisão da literatura. Todos os pacientes foram submetidos a angiografia renal. Dois dos casos foram diagnosticados durante a estadia hospitalar inicial, por hematúria ou no período de acompanhamento durante a recuperação. Um paciente estava hemodinamicamente instável. Dois pacientes foram submetidos a embolização com coil com sucesso em uma única sessão. No outro caso, a embolização seletiva foi tentada sem sucesso, devido à impossibilidade de cateterização da artéria. O sucesso médico e do procedimento e as complicações foram retrospectivamente avaliados a partir dos registros dos pacientes. A apresentação clínica, opções de tratamento e decisões clínicas são discutidas. CONCLUSÕES: Pseudoaneurisma de artéria renal pode se desenvolver agudamente ou até mesmo anos após o trauma inicial. Sinais e sintomas podem ter um amplo espectro de apresentação. Embolização angiográfica seletiva é um tratamento efetivo, reduzindo a extensão de infarto parenquimatoso.

show abstract

Renal artery pseudoaneurysm after blunt abdominal trauma

Cited by 44 publications

References 9 publications

Giant renal artery pseudoaneurysm 18 months after blunt trauma

Giant renal artery pseudoaneurysm 18 months after blunt trauma

Interventional Therapy for Renal Artery Pseudoaneurysms

Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature

Contact Info

Product

Resources

About