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Acute abdominal bleeding after partial nephrectomy

    Author: Christian Loewe, Vienna, Austria
    Body Region: Cardiovascular

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    3.1 Additional Information
    4. Diagnosis
    5. References
    CT angiography showing acute perirenal hemorrhage caused by a renal artery pseudoaneurysm after partial nephrectomy

    1. Patient Presentation

    • A 62-year-old woman with a history of right partial nephrectomy presented with clinical signs suggestive of active bleeding.
    • The patient complained of severe abdominal pain radiating to the dorsal region, associated with sweating.
    • In light of the suspected hemorrhagic condition, urgent CT angiography of the abdominal aorta was performed to confirm the presence of a possible aortic rupture.
    • At the time of CT angiography, the patient had hypotension (90/55 mmHg) and marked tachycardia (105 bpm).
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