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ISSN 2305-7939 (Electronic)

2020, Number 2

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RCU 2020; 9 (2)

Renal pseudoaneurysm by partial nephrectomy and its treatment

López RI, González LT, Quintana RM, de la Cruz OA

Language: Spanish
References: 19
Page: 81-88
PDF size: 827.81 Kb.


ABSTRACT

The treatment of small renal masses has evolved from a radical nephrectomy to nephron sparing surgery with the intent to preserve kidney function. Partial nephrectomy is more complex than the radical one and it presents a higher incidence of complications, such as bleeding, which is the most frequent. The objectives of this work are to describe a case of renal pseudoaneurysm after a laparoscopic partial nephrectomy and to discuss its treatment. A 62 years old male patient with an incidental diagnosis of right renal mass underwent a laparoscopic partial nephrectomy and presented postoperative bleeding due to a renal pseudoaneurysm treated by selective arterial embolization. Selective arterial embolization should be considered as a therapeutic alternative when there is hemodynamic stability, since it is less invasive and when conducted it can preserve most of the viable renal parenchyma.


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