INTRARENAL PSEUDO ANEURYSM AFTER PERCUTANEOUS NEPHROLITHOTOMY-A CASE REPORT

DEVAPRASATH JEYASEKHARAN; DEEPAK DAVID; BALA VIDYA SAGAR; NITHILA; SAMPATH KUMAR; HARIKRISHNAN

Volume : VIII, Issue : IV, April - 2019

INTRARENAL PSEUDO ANEURYSM AFTER PERCUTANEOUS NEPHROLITHOTOMY-A CASE REPORT

Devaprasath Jeyasekharan, Deepak David, Bala Vidya Sagar, Nithila, Sampath Kumar, Harikrishnan

Abstract :

We report a case of intrarenal pseudo aneurysm of the right kidney after supine percutaneous nephrolithotomy (PCNL). He presented with severe haematuria. He was evaluated by renal angiography, which showed a pseudo aneurysm with leak of contrast material, which was managed by endovascular approach using coil embolization. We report this case for its rarity. INTRODUCTION: Renal stones are a common problem worldwide. Treatment of renal stone varies from ESWL, RIRS, and PCNL. PCNL is the preferred treatment of choice for large renal stones more than 2 cm in size. Percutaneous renal procedures can lead to several renovascular injuries such as hematomas, arteriovenous 􀃶stulas or pseudo aneurysm. The reported incidence of renal pseudo aneurysm following percutaneous nephrolithotomy (PCNL) is 0.6 to 1% (1) and it is usually assessed by renal angiography. Selective renal embolization is currently considered to be the most appropriate technique in the treatment for these complications (2). We report a case of renal artery pseudo aneurysm followed by PCNL.