Djuimo Melody, Aubé Melanie, Beland Mathieu, Jeldres Claudio, Carmel Michel, Benko Andrew
Department of Surgery, Urology Division, Centre intégré universitaire de santé et de services sociaux - Centre Hospitalier Universitaire de Sherbrooke, Canada.
Department of Radiology, Centre intégré universitaire de santé et de services sociaux - Centre Hospitalier Universitaire de Sherbrooke, Canada.
Urol Case Rep. 2017 Apr 26;13:66-68. doi: 10.1016/j.eucr.2016.08.015. eCollection 2017 Jul.
A 21 year-old male underwent nephrostomy tube insertion for hydronephrosis due to a large para-aortic adenopathy of a testicular tumor. In order to reduce infections during chemotherapy, a ureteral stent was placed. While removing the nephrostomy tube, a pulsatile bleeding was found and a renal angiography was done. A pseudoaneurysm of his first left lumbar (L1) artery communicating with the nephrostomy's access site was found. An embolization was performed with coils in the left L1 artery and one of its subdivisions. Post-embolization controls revealed no bleeding. On the follow-up CT, there were no suspicious retroperitoneal mass.
一名21岁男性因睾丸肿瘤导致腹主动脉旁巨大淋巴结肿大引起肾积水而接受肾造瘘管插入术。为减少化疗期间的感染，放置了输尿管支架。在拔除肾造瘘管时，发现有搏动性出血，并进行了肾血管造影。发现其左第一腰动脉（L1）存在一个与肾造瘘穿刺部位相通的假性动脉瘤。对左L1动脉及其一个分支用弹簧圈进行了栓塞。栓塞术后检查显示无出血。在后续的CT检查中，未发现可疑的腹膜后肿块。
