PMC6479093_01
Computed imaging of the giant haematoma in the right kidney (coronal view).
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Abdominal ultrasound and contrast enhanced computed tomography (CT) scan showed hydronephrosis of the right kidney and a giant intracapsular, partially thrombosed pseudoaneurysm of the inferior branch of the right renal artery (Fig. 1).
Angiography of endovascular treatment of the aneurysm (A, catheterisation; B selective coiling of the lower renal artery).
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Tokyo, Japan). The microcatheter was passed into the pseudoaneurysm (Fig. 2A), and coil embolisation was performed of the renal artery branch leading to the pseudoaneurysm using five 10 mm Tornado coils (Cook Medical LLC, Bloomington, USA). A completion angiogram showed complete aneurysm obliteration, preserving blood flow to the main renal artery branches (Fig. 2B).
Follow up computed tomography imaging at 9 months (coronal view).
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A contrast enhanced CT scan after nine months showed a reduction in aneurysm size from eight to five cm and no active filling of the aneurysm sac (Fig. 3).