PMC5565740_01
Retroperitoneal haematoma and a medially displaced left kidney.
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A computed tomographic (CT) angiogram of her abdomen and pelvis demonstrated a medially displaced left kidney with a 10 cm retroperitoneal, loculated collection communicating with the left external iliac artery (EIA) whose appearances suggested pseudoaneurysm formation with recent haemorrhage (Fig. 1, Fig. 2).
Intra-operative digital subtraction angiogram (DSA) demonstrating extravasation of contrast from the ruptured external iliac artery mycotic pseudoaneurysm.
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Plus (covered) Vascular Stent Graft (7 mm x 6 cm) insertion via retrograde puncture (Fig. 3, Fig. 4). Prior to arterial closure, a distal popliteal embolectomy was also performed.
Removal of the infected endoprosthesis.
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Five-months post initial surgery she underwent a left-sided ilio-femoral reverse-GSV bypass graft and removal of the stent-graft (Fig. 5).