PMC6193420_01
Computed tomography of the patients' right kidney.. Note: The yellow arrow points to the preoperative renal mass viewed both (A) trans-axially and (B) coronally.
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His preoperative computed tomography showed 3 cm mesophytic right renal mass that was abutting the renal vein at the renal sinus (Figure 1).
Computed tomography image of the patients' right kidney. Note: The yellow arrow pointing to the renal artery pseudoneurysm.
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An emergency renal computed tomography showed segmental renal artery pseudoaneurysm arising from the tumor resection site (Figure 2).
Right renal artery angiogram.. Notes: The yellow arrows pointing to (A) active bleeding before embolization and (B) right renal artery angiography after superselective embolization.
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The patient was presented to the emergency department 22 days postoperatively with sudden gross hematuria and right-sided colicky flank pain (Figure 3). The patient had renal angiography that demonstrated a saccular pseudoaneurysm of the second segmental branch at the upper pole and embolization of the segmental renal artery with a coil (Tornado; Cook, Bloomington, IN, USA; and TRUFILL; Cordis, Miami, FL, USA) (Figure 3).