PMC10393521_01
Contrast-enhanced abdominopelvic CT scan showing the arterial phase with contrast stain (green arrow) in the kidney right lower pole, hydronephrosis with hyperdense material in the pyelum, and bladder clot retention.
CRIU2023-5103854.001.jpg
PMC10393521_01_CRIU2023-5103854.001.jpg
fig1
Contrast computed tomography angiography (CTA) in the other hospital showed an active arterial bleeding in the kidney lower pole with a contrast stain up to 10.4 mm, hydronephrosis, and hyperdense material in the pyelum, ureter, and bladder (Figure 1).
Angiography showing (a) peak opacification of the PA (green arrow) before embolization, (b) superselective catheterization at the base of the PA filled with contrast (green arrow) and the associated AVF with early venous return, and (c) successful obliteration of the feeder segmental artery with 4 Hilal Embolization MicroCoils  (green arrow) with no residual filling of the PA on control angiography. PA = pseudoaneurysm; AVF = arteriovenous fistula.
CRIU2023-5103854.002.jpg
PMC10393521_01_CRIU2023-5103854.002.jpg
fig2
A right transfemoral angiography was performed, confirming the PA (Figure 2).