Arterial pseudoaneurysm complicating endoscopic fulguration of upper urinary tract urothelial carcinoma.

Journal Article (Journal Article)

We report a case of intrarenal arterial pseudoaneurysm after ureteroscopic fulguration of recurrent urothelial carcinoma. An asymptomatic 90-year-old woman underwent uneventful cauterization of two small papillary urothelial carcinomas. One month postoperatively, the patient presented with gross hematuria. Angiographic evaluation revealed a small pseudoaneurysm in the distal upper pole branch of the left renal artery, corresponding to the site of recent tumor fulguration. Angioembolization of this lesion was successfully performed. Acute or subacute gross hematuria after endoscopic tumor ablation may be due to an arterial pseudoaneurysm. Angiographic evaluation is critical for the successful diagnosis and treatment of this complication.

Full Text

Duke Authors

Cited Authors

  • Miller, DC; Faerber, GJ

Published Date

  • November 2001

Published In

Volume / Issue

  • 58 / 5

Start / End Page

  • 799 -

PubMed ID

  • 11711369

Electronic International Standard Serial Number (EISSN)

  • 1527-9995

Digital Object Identifier (DOI)

  • 10.1016/s0090-4295(01)01360-7


  • eng

Conference Location

  • United States