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Giant Calcified Renal Artery Aneurysm: Traditional RX versus Three-Dimensional Computed Tomography

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DOI: 10.4236/act.2013.21004    3,469 Downloads   6,311 Views  

ABSTRACT

A 65-year-old woman with no history of previous flank trauma, renal stone or upper urinary tract infections, presented for flank pain and left hydro-uretero-nephrosis seven days after hysterectomy. Percutaneous pielography revealed narowing of the distal ureter, without endoureteral mass. The plain abdomen film incidentally showed a 3-cm calcified ring on the left renal shadow, who resulted external to the collecting system at pielography. A 3-dimensional-CT scan with angiographic reconstruction revealed a 3-cm calcified renal artery aneurysm. The vascular surgeon suggested a watchful waiting. The patient underwent ureteral reimplantation with ureteral stenting, allowing a complete recovery of iatrogenic stenosis two months postoperatively.

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The authors declare no conflicts of interest.

Cite this paper

Gacci, M., Saleh, O., Mantella, A., Azas, L., Romagnani, P., Minervini, A., Serni, S. and Carini, M. (2013) Giant Calcified Renal Artery Aneurysm: Traditional RX versus Three-Dimensional Computed Tomography. Advances in Computed Tomography, 2, 20-22. doi: 10.4236/act.2013.21004.

References

[1] J. C. Stanley, L. M. Messina and G. B. Zelenock, “Splanckmc and Renal Artery Aneurysms,” In: W. S. Moore, Ed., Vascular Surgery: A Comprehensive Review, WB Saunders, Philadelphia, 1491, pp. 335-349.
[2] Y. H. Rokni and Y. Moharamzad, “Endovascular Treatment of Renal Arteriovenous Fistula Follo?wing a Stab Wound,” Urology Journal, Vol. 5, No. 2, 2008, pp. 129-131.
[3] L. J. Zhang, G. F. Yang, J. Qi and W. Shen, “Renal Artery Aneurysm: Diagnosis and Surveillance with Multi-Detector Row Computed Tomography,” Acta Radiologica, Vol. 48, No. 3, 2007, pp. 274-279. doi:10.1080/02841850601161521
[4] F. Y. D?nmez, M. Cokun, A. Uyuur, et al., “Non-Invasive Imaging Findings of Idiopathic Renal Arteriovenous Fistula,” Diagnostic and Interventional Radiology, Vol. 14, No. 2, 2008, pp. 103-105.
[5] A. Lumsden, T. Salam and K. Walton, “Renal Artery Aneurysm: A Report of 28 Cases,” Cardiovascular Surgery, Vol. 4, No. 2, 1996, pp. 185-189. doi:10.1016/0967-2109(96)82312-X
[6] J. C. Stanley, E. L. Rhodes, B. L. Cewertz, C. Y. Chang, J. F. Walter and W. J. Fry, “Renal Artery Aneurysms: Significance of Macroaneurysms Exclusive of Dissections and Fibrodysplastic Mural Dilations,” Archives of Surgery, 1975; Vol. 110, No. 11, 1975, pp. 1327-1333. doi:10.1001/archsurg.1975.01360170067009
[7] S. P. Stanl and E. Fishman, “Three Dimensional Ct Angiography: Renal Applications,” Semin Ultrasound CT MR, Vol. 19, No. 5, 1998, pp. 413-424. doi:10.1016/S0887-2171(98)90018-X
[8] W. Higashiura, S. Sakaguchi, N. Tabayashi, S. Taniguchi and K. Kichikawa, “Impact of 3-Dimensional-Computed Tomography Workstation for Precise Planning of Endovascular Aneurysm Repair,” Circulation Journal, Vol. 72, No. 12, 2008, pp. 2028-2034. doi:10.1253/circj.CJ-08-0331
[9] C. Dzsinich, P. Gloviczki, M. A. McKusick, P. C. Pairolero, T. C. Bower, J. W. Hallett Jr. and K. J. Cherry Jr., “Surgical Management of Renal Artery Aneurysm,” Cardiovascular Surgery, Vol. 1, No. 3, 1993, pp. 243-247.

  
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