Document Detail

Case report: delayed hemorrhage from an accessory internal pudendal artery pseudoaneurysm after robotic radical prostatectomy: successful management with ct angiography and embolization.
MedLine Citation:
PMID:  17867955     Owner:  NLM     Status:  MEDLINE    
We present the first report of a pseudoaneurysm of an accessory internal pudendal artery after transperitoneal robotic radical prostatectomy. The vesicourethral anastomosis was performed using two continuous 3-0 Monocryl sutures tied at the six o'clock position. As the anastomotic suture was placed at 11 o'clock, lateral to the dorsal venous complex, there was a small amount of pulsatile bleeding that ceased when the suture was completed and tied. The lesion presented as hematuria beginning on the fourth day. On the 14(th) day, the pseudoaneurysm was diagnosed by CT angiography and treated by embolization with eight 3-mm/30-mm micro coils after superselective catheterization. There were no complications or further hematuria.
I Beckley; B Patterson; M Hamaday; J Vale; D Hrouda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  21     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-09-17     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  923-5     Citation Subset:  IM    
Department of Urology, Charing Cross Hospital, London, UK.
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MeSH Terms
Aneurysm, False* / etiology,  radiography,  therapy
Embolization, Therapeutic*
Iliac Artery
Middle Aged
Postoperative Hemorrhage* / etiology,  radiography,  therapy
Prostatectomy / adverse effects*,  methods
Prostatic Neoplasms / surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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