Inferior epigastric artery pseudoaneurysm secondary to port placement during a robot-assisted laparoscopic radical cystectomy.

Journal: Journal of ultrasound
PMID: 32162156

Abstract

Pseudoaneurysm occurs when the artery wall is damaged and the blood is contained by the surrounding tissues with the eventual formation of a fibrous sac communicating with the artery. We report a case of a 74-year-old man with inferior epigastric artery (IEA) pseudoaneurysm secondary to an 8-mm port placement during a robot-assisted laparoscopic radical cystectomy with ureteroileocutaneostomy. The pseudoaneurysm was initially diagnosed by contrast-enhanced ultrasound (CEUS); subsequently, a computed tomography (CT) scan and an angiography test were performed. The pseudoaneurysm was then treated successfully with embolization of the inferior epigastric artery. Awareness of this rare complication is of clinical importance to avoid excessive morbidity of affected individuals.

Authors

  • A Tufano
    Department of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
  • R Minelli
    Department Life and Health "V. Tiberio", University of Molise, Francesco De Sanctis st 1, 86100, Campobasso, Italy. rocco.minelli@libero.it.
  • E Rossi
    Department of Radiology, Santobono-Pausilipon" Children Hospital, Naples, Italy.
  • C Brillantino
    Department of Radiology, Santobono-Pausilipon" Children Hospital, Naples, Italy.
  • M Di Serafino
    Department of Emergency and General Radiology, Antonio Cardarelli" Hospiatl, Naples, Italy.
  • M Zeccolini
    Department of Radiology, Santobono-Pausilipon" Children Hospital, Naples, Italy.
  • V Cantisani
    Department of Radiology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
  • G Vallone
    Department Life and Health "V. Tiberio", University of Molise, Francesco De Sanctis st 1, 86100, Campobasso, Italy.

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