Autor(es): Cunha, Roberto ; Silva, Manuel ; Sousa, Pedro ; Correia, Mafalda ; Vieira, Isabel ; Cássio, Isabel ; Oliveira, Nelson ; Dias, Emanuel
Data: 2024
Origem: Angiologia e Cirurgia Vascular
Assunto(s): Partial nephrectomy; laparoscopy; Pseudoaneurysm; Selective embolization
INTRODUCTION: Partial nephrectomy is considered the gold standard treatment for many renal tumors when technically feasible. Renal artery pseudoaneurysm and arteriovenous fistulas are rare life-threatening complications that occur more frequently after laparoscopic rather than open partial nephrectomy. CASE REPORT: The authors present a case of a 67-year-old female patient with persistent hematuria due to a renal pseudoaneurysm after partial laparoscopic nephrectomy is presented. The patient underwent selective embolization of the pseudoaneurysm using CONCLUSION: Arterial lesions after partial nephrectomy may be amenable to embolization with the advantage of renal parenchyma and function preservation, by comparison with more invasive interventions such as total nephrectomy. Active surveillance of patients after laparoscopic partial nephrectomy should be performed.
