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

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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.

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Authors and Affiliations

  1. Department of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy

    A. Tufano

  2. Department Life and Health “V. Tiberio”, University of Molise, Francesco De Sanctis st 1, 86100, Campobasso, Italy

    R. Minelli & G. Vallone

  3. Department of Radiology, Santobono-Pausilipon” Children Hospital, Naples, Italy

    E. Rossi, C. Brillantino & M. Zeccolini

  4. Department of Emergency and General Radiology, Antonio Cardarelli” Hospiatl, Naples, Italy

    M. Di Serafino

  5. Department of Radiology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy

    V. Cantisani

Authors
  1. A. Tufano
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  2. R. Minelli
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  3. E. Rossi
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  4. C. Brillantino
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  5. M. Di Serafino
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  6. M. Zeccolini
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  7. V. Cantisani
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  8. G. Vallone
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Correspondence to R. Minelli.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, and its late amendments. Additional informed consented was obtained from all patients for which identifying information is not included in this article.

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Tufano, A., Minelli, R., Rossi, E. et al. Inferior epigastric artery pseudoaneurysm secondary to port placement during a robot-assisted laparoscopic radical cystectomy. J Ultrasound 24, 535–538 (2021). https://doi.org/10.1007/s40477-020-00442-1

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  • DOI: https://doi.org/10.1007/s40477-020-00442-1

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