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A 32-year-old man was referred for evaluation of persistent haematuria following percutaneous nephrolithotomy (PCNL) for a right renal calculus. Examination revealed obvious pallor (Hemoglobin, 6 g/dL), tachycardia (130 bpm) and hypotension (80/60 mm Hg), with frank blood in the urobag. Patient was afebrile. He was stabilised with intravenous fluids and blood transfusions. CT of renal arteries was suggestive of leaking pseudoaneurysm from right posterior lower pole interlobar renal artery.
Renal angiography was undertaken to confirm the pseudoaneurysm and plan for selective coil embolisation. It revealed a focal pseudoaneurysm arising from the right lower …
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