Abstract

Background

Although transcatheter arterial embolization for pseudoaneurysms is already well-established, ureteral artery pseudoaneurysm embolization is extremely rare. The present case shows a successful transcatheter arterial embolization for pseudoaneurysms in the ureteral branch of the renal artery due to ureteral invasion from gastric cancer.

Case presentation

A 57-year-old female presented with gross hematuria after treatments for poorly differentiated gastric adenocarcinoma. A contrast-enhanced computed tomography revealed pseudoaneurysms around the right ureter with a massive hematoma in the right ureter and bladder. The diagnosis was ureteral branch pseudoaneurysms resulting from possible retroperitoneal invasion due to pelvic lymph node metastasis of gastric cancer. Transcatheter arterial embolization was performed using gelatin particles, successfully controlling her hematuria without complications.

Conclusions

Ureteral branch artery embolization, although extremely rare, may be an effective and safe treatment option.

Details

Title
Embolization of pseudoaneurysms in the ureteral branch of the renal artery
Author
Saiga, Atsushi 1   VIAFID ORCID Logo  ; Aramaki, Takeshi 1 ; Sato, Rui 1 ; Asahara, Kazuhisa 1 ; Goto, Hironori 2 

 Shizuoka Cancer Center, Division of Interventional Radiology, Shizuoka, Japan (GRID:grid.415797.9) (ISNI:0000 0004 1774 9501) 
 Shizuoka Cancer Center, Division of Diagnostic Radiology, Shizuoka, Japan (GRID:grid.415797.9) (ISNI:0000 0004 1774 9501) 
Pages
51
Publication year
2023
Publication date
Dec 2023
Publisher
Springer Nature B.V.
e-ISSN
25208934
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2880594335
Copyright
© The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.