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Massive hematuria due to ruptured iatrogenic aortic pseudoaneurysm: A case report

Valerio Vagnoni, Caterina Gaudiano, Giovanni Passaretti, Riccardo Schiavina, Eugenio Brunocilla, Cristian Vincenzo Pultrone, Marco Borghesi, Giuseppe Martorana
  • Valerio Vagnoni
    Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy | vagno07@libero.it
  • Caterina Gaudiano
    Department of Radiology, Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Giovanni Passaretti
    Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Riccardo Schiavina
    Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Eugenio Brunocilla
    Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Cristian Vincenzo Pultrone
    Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Marco Borghesi
    Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • Giuseppe Martorana
    Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy

Abstract

We report an interesting case of massive haematuria secondary to a rupture of a pseudoa- neurysm of the abdominal aorta below the renal vessels. A 65-year-old woman present- ed at our institution with a painful massive haematuria and anaemia. Two months before, she undergone a pelvic surgery complicated by an accidental injury of the right ureter sutured with a end-to-end anastomosis. An abdominal computed tomography (CT) scan with intravenous contrast showed a right-sided hydronephrosis with clots in the lumen of the right pelvis with a massive retroperitoneal hematoma due to a rupture of a iatrogenic pseudoaneurysm of the abdominal aorta below the origin of the renal arteries.

Keywords

Haematuria; Aortic pseudoaneurysm; Pelvic surgery

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Submitted: 2013-06-24 17:25:31
Published: 2013-06-24 00:00:00
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Copyright (c) 2013 Valerio Vagnoni, Caterina Gaudiano, Giovanni Passaretti, Riccardo Schiavina, Eugenio Brunocilla, Cristian Vincenzo Pultrone, Marco Borghesi, Giuseppe Martorana

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