TITLE:
Giant Calcified Renal Artery Aneurysm: Traditional RX versus Three-Dimensional Computed Tomography
AUTHORS:
Mauro Gacci, Omar Saleh, Annalisa Mantella, Leonidas Azas, Paola Romagnani, Andrea Minervini, Sergio Serni, Marco Carini
KEYWORDS:
Renal Artery Aneurysm; 3D-CT; Angiographic Reconstruction
JOURNAL NAME:
Advances in Computed Tomography,
Vol.2 No.1,
March
7,
2013
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.