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European Radiology

, Volume 12, Issue 6, pp 1401–1404 | Cite as

Lumbar artery pseudoaneurysm and arteriovenous fistula as a complication of laparoscopic splenectomy: treatment by transcatheter embolization

  • G. Maleux
  • J. Vermylen
  • G. Wilms
Vascular–Interventional

Abstract.

Iatrogenic injury of a lumbar artery is very rare and mostly causes retroperitoneal hemorrhage. We report a case of a lumbar artery pseudoaneurysm and a concomitant arteriovenous fistula complicating laparoscopic splenectomy and provoking renal colic-like flank pain due to mass effect on the left ureter. Definitive treatment of both vascular lesions was obtained after percutaneous transcatheter embolization of several lumbar arteries. Control computed tomography scan 3 months after embolization showed almost complete resorption of the retroperitoneal hematoma.

Arteries Injuries Lumbar Embolization Therapeutic Fistula Arteriovenous Pseudoaneurysm Surgery Complications 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • G. Maleux
    • 1
  • J. Vermylen
    • 2
  • G. Wilms
    • 1
  1. 1.Department of Radiology, University Hospitals, Herestraat 49, 3000 Leuven, BelgiumBelgium
  2. 2.Department of Internal Medicine–Vascular Diseases, University Hospitals, Herestraat 49, 3000 Leuven, BelgiumBelgium

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