Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidney

Introduction Renal artery pseudoaneurysm is a rare yet serious complication following percutaneous nephrolithotomy, especially in patients with solitary kidneys. Effective management is crucial to prevent further renal damage. Case presentation We report a case of a 41‐year‐old male with a solitary...

Full description

Saved in:
Bibliographic Details
Main Authors: Sana Augustine, Mitwa Patel, Pugazhendi Inban, Sk Sadia Rahman Synthia, Ummul Z Asfeen, Aliza Yaqub, Aadil Mahmood Khan, Mansi Singh
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12796
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846098577646944256
author Sana Augustine
Mitwa Patel
Pugazhendi Inban
Sk Sadia Rahman Synthia
Ummul Z Asfeen
Aliza Yaqub
Aadil Mahmood Khan
Mansi Singh
author_facet Sana Augustine
Mitwa Patel
Pugazhendi Inban
Sk Sadia Rahman Synthia
Ummul Z Asfeen
Aliza Yaqub
Aadil Mahmood Khan
Mansi Singh
author_sort Sana Augustine
collection DOAJ
description Introduction Renal artery pseudoaneurysm is a rare yet serious complication following percutaneous nephrolithotomy, especially in patients with solitary kidneys. Effective management is crucial to prevent further renal damage. Case presentation We report a case of a 41‐year‐old male with a solitary kidney who experienced gross hematuria and renal insufficiency 3 months after percutaneous nephrolithotomy. Due to the patient's renal insufficiency and the risks associated with arterial catheterization, ultrasound‐guided embolization was chosen as the treatment approach. Initial angiographic attempts were impeded by renal vessel spasms, delaying intervention. However, successful direct percutaneous embolization was subsequently performed using ultrasound and digital subtraction angiography. Conclusion The patient's recovery was uneventful, and follow‐up assessments showed no recurrence of renal artery pseudoaneurysm. This case highlights the effectiveness of ultrasound‐guided embolization as a viable treatment option for post‐percutaneous nephrolithotomy renal artery pseudoaneurysm, particularly in patients with solitary kidneys.
format Article
id doaj-art-a9b25a766bb4426a8852b03585706563
institution Kabale University
issn 2577-171X
language English
publishDate 2025-01-01
publisher Wiley
record_format Article
series IJU Case Reports
spelling doaj-art-a9b25a766bb4426a8852b035857065632025-01-01T23:35:59ZengWileyIJU Case Reports2577-171X2025-01-0181192310.1002/iju5.12796Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidneySana Augustine0Mitwa Patel1Pugazhendi Inban2Sk Sadia Rahman Synthia3Ummul Z Asfeen4Aliza Yaqub5Aadil Mahmood Khan6Mansi Singh7Liaquat University of Medical and Health Sciences Hyderabad PakistanDavid Tvildiani Medical University Tbilisi GeorgiaGovernment Medical College Omandurar Chennai IndiaM.H. Samorita Medical College and Hospital Dhaka BangladeshNew York Medical College at St Michael's Medical Center Newark New Jersey USABahria University Medical and Dental College Karachi PakistanOSF Healthcare System University of Illinois College of Medicine Peoria Illinois USABogomolets National Medical University Kyiv UkraineIntroduction Renal artery pseudoaneurysm is a rare yet serious complication following percutaneous nephrolithotomy, especially in patients with solitary kidneys. Effective management is crucial to prevent further renal damage. Case presentation We report a case of a 41‐year‐old male with a solitary kidney who experienced gross hematuria and renal insufficiency 3 months after percutaneous nephrolithotomy. Due to the patient's renal insufficiency and the risks associated with arterial catheterization, ultrasound‐guided embolization was chosen as the treatment approach. Initial angiographic attempts were impeded by renal vessel spasms, delaying intervention. However, successful direct percutaneous embolization was subsequently performed using ultrasound and digital subtraction angiography. Conclusion The patient's recovery was uneventful, and follow‐up assessments showed no recurrence of renal artery pseudoaneurysm. This case highlights the effectiveness of ultrasound‐guided embolization as a viable treatment option for post‐percutaneous nephrolithotomy renal artery pseudoaneurysm, particularly in patients with solitary kidneys.https://doi.org/10.1002/iju5.12796partial nephrectomypercutaneous nephrolithotomy (PCNL)renal artery pseudoaneurysm (RAP)solitary kidneyultrasound‐guided embolization
spellingShingle Sana Augustine
Mitwa Patel
Pugazhendi Inban
Sk Sadia Rahman Synthia
Ummul Z Asfeen
Aliza Yaqub
Aadil Mahmood Khan
Mansi Singh
Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidney
IJU Case Reports
partial nephrectomy
percutaneous nephrolithotomy (PCNL)
renal artery pseudoaneurysm (RAP)
solitary kidney
ultrasound‐guided embolization
title Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidney
title_full Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidney
title_fullStr Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidney
title_full_unstemmed Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidney
title_short Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidney
title_sort ultrasound guided embolization for renal artery pseudoaneurysm in solitary kidney
topic partial nephrectomy
percutaneous nephrolithotomy (PCNL)
renal artery pseudoaneurysm (RAP)
solitary kidney
ultrasound‐guided embolization
url https://doi.org/10.1002/iju5.12796
work_keys_str_mv AT sanaaugustine ultrasoundguidedembolizationforrenalarterypseudoaneurysminsolitarykidney
AT mitwapatel ultrasoundguidedembolizationforrenalarterypseudoaneurysminsolitarykidney
AT pugazhendiinban ultrasoundguidedembolizationforrenalarterypseudoaneurysminsolitarykidney
AT sksadiarahmansynthia ultrasoundguidedembolizationforrenalarterypseudoaneurysminsolitarykidney
AT ummulzasfeen ultrasoundguidedembolizationforrenalarterypseudoaneurysminsolitarykidney
AT alizayaqub ultrasoundguidedembolizationforrenalarterypseudoaneurysminsolitarykidney
AT aadilmahmoodkhan ultrasoundguidedembolizationforrenalarterypseudoaneurysminsolitarykidney
AT mansisingh ultrasoundguidedembolizationforrenalarterypseudoaneurysminsolitarykidney