Giant Calcified Renal Artery Aneurysm: Traditional RX versus Three-Dimensional Computed Tomography

Mauro Gacci, Omar Saleh, Annalisa Mantella, Leonidas Azas, Paola Romagnani, Andrea Minervini, Sergio Serni, Marco Carini

Department of Urology, University of Florence, Florence, Italy.
Department of Vascular Surgery, University of Florence, Florence, Italy.
Excellence Center for Research, Transfer and High Education (DENOTHE), University of Florence, Florence, Italy.

DOI: 10.4236/act.2013.21004                

Abstract

A 65-year-old woman with no history of previous flank trauma, renal stone or upper urinary tract infections, presented for flank pain and left hydro-uretero-nephrosis seven days after hysterectomy. Percutaneous pielography revealed narowing of the distal ureter, without endoureteral mass. The plain abdomen film incidentally showed a 3-cm calcified ring on the left renal shadow, who resulted external to the collecting system at pielography. A 3-dimensional-CT scan with angiographic reconstruction revealed a 3-cm calcified renal artery aneurysm. The vascular surgeon suggested a watchful waiting. The patient underwent ureteral reimplantation with ureteral stenting, allowing a complete recovery of iatrogenic stenosis two months postoperatively.

Keywords

Renal Artery Aneurysm; 3D-CT; Angiographic Reconstruction

Conflicts of Interest

The authors declare no conflicts of interest.

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