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Case Reports in Urology
Volume 2017, Article ID 3017501, 4 pages
https://doi.org/10.1155/2017/3017501
Case Report

Intraparenchymal Renal Artery Pseudoaneurysm and Arteriovenous Fistula on a Solitary Kidney Occurring 38 Years after Blunt Trauma

1Department of Urology, Geneva University Hospitals, 4 rue Gabrielle Perret-Gentil, 1205 Geneva, Switzerland
2Department of Urology, University Clinics Saint Luc, Catholic University of Louvain, 10 Avenue Hippocrate, 1200 Brussels, Belgium
3Department of Radiology, University Clinics Saint Luc, Catholic University of Louvain, 10 Avenue Hippocrate, 1200 Brussels, Belgium

Correspondence should be addressed to Daniel Benamran; hc.eguch@narmaneb.leinad

Received 8 January 2017; Accepted 28 February 2017; Published 13 March 2017

Academic Editor: Elijah O. Kehinde

Copyright © 2017 Daniel Benamran et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pseudoaneurysm and arteriovenous fistulae of the renal artery are rare complications of kidney trauma. They commonly result from open traumas and occur within days after the injury. Common symptoms include acute haematuria, pain, or hypertension. We report the case of a fifty-three-year-old man presenting with symptomatic complex chronic high flow kidney arteriovenous fistula with interposition of a pseudoaneurysmal pouch and arterial aneurysmal dilatation in a solitary left kidney 38 years after a blunt trauma. Those conditions were successfully treated by endovascular embolization followed by regular radiologic, biological, and clinical follow-up. To the best of our knowledge, few similar cases were reported more than 20 years after trauma. However, no case combining an arteriovenous fistula and a pseudoaneurysm revealing as late as 38 years after trauma was found. In addition, management of those conditions on a solitary kidney and outcomes has not been described. We believe that our case depicts the clinical presentation and management of this rare entity that should not be unrecognized due to its potential lethal implications.