PMC6159256_01
PMC6159256_02
PMC6159256_03
Doppler ultrasound showing the typical "ying-yang" sign that is highly suggestive of renal pseudoaneurysm.
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Colour Doppler imaging showed the typical "ying-yang" sign that was highly suggestive of PSA (Figure 1).
Magnetic resonance angiography of the transplanted kidney showing the location of the pseudoaneurysm that is supplied by the lower lobar artery.
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Magnetic resonance angiography (MRA) without gadolinium was performed to further confirm that the 1.4 x 1.7 cm PSA was located in the lower pole of the transplanted kidney and was supplied by the lower lobar artery (Figure 2).
Conventional angiogram of the transplanted right kidney demonstrates selective catheterization and coil embolization of the lobular artery supplying the pseudoaneurysm.
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Two Tornado coils (one 2 x 3 mm, and one 3 x 4 mm) and two Nester coils (3 x 3 mm) were deployed (Figure 3).
Conventional angiogram of the transplanted right kidney demonstrates selective cauterization of the lobular artery supplying the pseudoaneurysm.
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Contrast injection immediately post procedure confirmed the absence of flow to the PSA (Figure 4).
Doppler ultrasound of the transplanted kidney showing a decrease in the size of the pseudoaneurysm with no detectable flow.
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The next day, a repeat ultrasound was performed and showed a decrease in the size of the PSA with no detectable flow (Figure 5).