Pisano Umberto, Soon V-Liem, Douglas Peter
Interventional Radiology Department, Queen Elizabeth University Hospital, 1345 Govan Road, G51 4TF, Glasgow, United Kingdom.
Diagnostic Radiology Department, Queen Elizabeth University Hospital, 1345 Govan Road, G51 4TF, Glasgow, United Kingdom.
Radiol Case Rep. 2021 Feb 24;16(5):1095-1098. doi: 10.1016/j.radcr.2021.02.017. eCollection 2021 May.
Pseudoaneurysms are rare complications in urological surgery. Typically, they would present with pain, haematuria or anaemia. We report a 60-year-old patient who was found to have a chronic pseudoaneurysm via a corona mortis vascular variant, 3 months after a robotic-assisted prostatectomy. Unlike other rare reports of delayed vascular complications after minimally invasive urological surgery, the patient was entirely asymptomatic.Apart from careful intraoperative dissection, a high index of suspicion and low threshold for imaging are also required in the follow up period. Percutaneous trans-arterial embolization is safe and effective in dealing with post-surgical pseudoaneurysms.
假性动脉瘤是泌尿外科手术中罕见的并发症。通常,患者会出现疼痛、血尿或贫血症状。我们报告一例60岁患者,在机器人辅助前列腺切除术后3个月,通过死亡冠血管变异发现患有慢性假性动脉瘤。与其他关于微创泌尿外科手术后延迟性血管并发症的罕见报道不同,该患者完全没有症状。除了术中仔细解剖外,随访期间还需要高度怀疑并降低影像学检查阈值。经皮经动脉栓塞术在处理术后假性动脉瘤方面安全有效。