External iliac artery pseudoaneurysms after kidney transplantation
Diagnosis certain
Updates to Case Attributes
Status
changed from pending review to published (public).
Published At
was set to
.
Age
changed from 55 to 55 years.
Presentation
was changed:
Long-standingtype II diabetes mellitus and end-stage renal disease. Kidney grafted three months ago. Nausea, vomit, anuria, leg swelling and pain located near the kidney graft for the last seven days.
Body
was changed:
Iliac artery aneurysms are rare, they represent less than 2% of abdominal aneurysms. External iliac arterial involvement is very rare. Pseudoaneurysms are abnormal dilatations of arteries bounded only by the tunica adventitia. They are commonly associated towith trauma. Yin yang-yang sign is an ultrasound feature described in pseudoaneurysms. A contrast-enhanced CT study might help confirm the diagnosis.
-<p>Iliac artery aneurysms are rare, they represent less than 2% of abdominal aneurysms. External iliac arterial involvement is very rare. Pseudoaneurysms are abnormal dilatations of arteries bounded only by the tunica adventitia. They are commonly associated to trauma. Yin yang sign is an ultrasound feature described in pseudoaneurysms. A contrast-enhanced CT study might help confirm the diagnosis.</p>- +<p>Iliac artery aneurysms are rare, they represent less than 2% of abdominal aneurysms. External iliac arterial involvement is very rare. Pseudoaneurysms are abnormal dilatations of arteries bounded only by the tunica adventitia. They are commonly associated with trauma. Yin-yang sign is an ultrasound feature described in pseudoaneurysms. A contrast-enhanced CT study might help confirm the diagnosis.</p>
References changed:
- 1. Kolofousi C, Stefanidis K, Cokkinos DD, Karakitsos D, Antypa E, Piperopoulos P. Ultrasonographic features of kidney transplants and their complications: an imaging review. (2013) ISRN radiology. 2013: 480862. <a href="https://doi.org/10.5402/2013/480862">doi:10.5402/2013/480862</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/24967275">Pubmed</a> <span class="ref_v4"></span>
- 2. Reyna-Sepúlveda F, Ponce-Escobedo A, Guevara-Charles A, Escobedo-Villarreal M, Pérez-Rodríguez E, Muñoz-Maldonado G, Hernández-Guedea M. Outcomes and Surgical Complications in Kidney Transplantation. (2017) International journal of organ transplantation medicine. 8 (2): 78-84. <a href="https://www.ncbi.nlm.nih.gov/pubmed/28828167">Pubmed</a> <span class="ref_v4"></span>
- 3. Syed A. Akbar, S. Zafar H. Jafri, Marco A. Amendola, Beatrice L. Madrazo, Riad Salem, Kostaki G. Bis. Complications of Renal Transplantation1. (2005) RadioGraphics. <a href="https://doi.org/10.1148/rg.255045133">doi:10.1148/rg.255045133</a> <span class="ref_v4"></span>
- Kolofousi C, Stefanidis K, Cokkinos DD, Karakitsos D, Antypa E, Piperopoulos P. Ultrasonographic features of kidney transplants and their complications: an imaging review. (2013) ISRN radiology. 2013: 480862. <a href="https://doi.org/10.5402/2013/480862">doi:10.5402/2013/480862</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/24967275">Pubmed</a> <span class="ref_v4"></span>
- Reyna-Sepúlveda F, Ponce-Escobedo A, Guevara-Charles A, Escobedo-Villarreal M, Pérez-Rodríguez E, Muñoz-Maldonado G, Hernández-Guedea M. Outcomes and Surgical Complications in Kidney Transplantation. (2017) International journal of organ transplantation medicine. 8 (2): 78-84. <a href="https://www.ncbi.nlm.nih.gov/pubmed/28828167">Pubmed</a> <span class="ref_v4"></span>
- Syed A. Akbar, S. Zafar H. Jafri, Marco A. Amendola, Beatrice L. Madrazo, Riad Salem, Kostaki G. Bis. Complications of Renal Transplantation1. (2005) RadioGraphics. <a href="https://doi.org/10.1148/rg.255045133">doi:10.1148/rg.255045133</a> <span class="ref_v4"></span>
Updates to Study Attributes
Findings
was changed:
Double focal dilatation of thethe external iliac artery on a contrast-enhanced study.
Double J catheter is seen reaching transplant kidney pelvis.
Mild free ascites at the pelvis. Subcutaneous edema is noted as well.
Updates to Study Attributes
Findings
was changed:
ColorColour Doppler ultrasound exam revealed two "yin"yin-yang" sign" within the external iliac artery, compatible with pseudoaneurysms.
Updates to Quizquestion Attributes
Answer
was changed:
Yin yang-yang sign.
Question
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Updates to Quizquestion Attributes
Question
was changed:
Updates to Quizquestion Attributes
Question
was changed:
Answer
was changed:
Pseudoaneurysm.