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Massive hematuria due to ruptured iatrogenic aortic pseudoaneurysm: A case report
Author(s) -
Valerio Vagi,
Caterina Gaudiano,
Giovanni Passaretti,
Riccardo Schiavina,
Eugenio Brunocilla,
Cristian Vincenzo Pultrone,
Marco Borghesi,
Giuseppe Martorana
Publication year - 2013
Publication title -
archivio italiano di urologia e andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.429
H-Index - 23
eISSN - 2282-4197
pISSN - 1124-3562
DOI - 10.4081/aiua.2013.2.96
Subject(s) - medicine , pseudoaneurysm , hydronephrosis , surgery , radiology , abdominal aorta , anastomosis , pelvis , lumen (anatomy) , accidental , renal pelvis , ureter , aorta , aneurysm , urinary system , anatomy , physics , acoustics
We report an interesting case of massive haematuria secondary to a rupture of a pseudoa- neurysm of the abdominal aorta below the renal vessels. A 65-year-old woman present- ed at our institution with a painful massive haematuria and anaemia. Two months before, she undergone a pelvic surgery complicated by an accidental injury of the right ureter sutured with a end-to-end anastomosis. An abdominal computed tomography (CT) scan with intravenous contrast showed a right-sided hydronephrosis with clots in the lumen of the right pelvis with a massive retroperitoneal hematoma due to a rupture of a iatrogenic pseudoaneurysm of the abdominal aorta below the origin of the renal arteries.

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