Pseudoaneurisma de arteria renal principal asociado a fistula cecal tras nefrectomia radical: caso clínico y revisión de la literatura

2014 
espanolLas complicaciones vasculares secundarias al tratamiento quirurgico del cancer de rinon localizado son mas frecuentes cuando se realiza una cirugia conservadora de nefronas. Sin embargo, la nefrectomia radical no esta exenta de ellas. Presentamos el caso de un pseudoaneurisma de la arteria renal principal con comunicacion fistulosa a colon ascendente tras nefrectomia radical. El paciente debuto con un episodio de shock hipovolemico debido a hemorragia digestiva baja. EnglishVascular complications secondary to surgical treatment of localized kidney cancer are more frequent when a nephron-sparing surgery is performed. However, radical nephrectomy is not exempt from them. We report the case of a pseudoaneurysm of the main renal artery with fistulous communication to ascending colon after radical nephrectomy. The patient presented with an episode of hypovolemic shock due to lower gastrointestinal bleeding.
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