Renal artery pseudoaneurysm and arteriovenous fistula to the inferior vena cava

A late complication following laparoscopic cholecystectomy

Gianfranco Lemmo, Massimiliano M. Marrocco-Trischitta, Raffaele Manni, Francesco Snider

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Major vascular injuries during laparoscopic procedures are rare but potentially life-threatening if not promptly diagnosed and treated. We report a case in which the placement of a trocar during a laparoscopic cholecystectomy caused damage to the right renal artery and led to the development of a pseudoaneurysm. The pseudoaneurysm of the right renal artery then eroded into the inferior vena cava resulting in an arteriovenous fistula that eventually caused right renal failure, systolic and diastolic hypertension, and congestive heart failure. The recognition of this complication was delayed and the patient was referred for surgery 5 years after the laparoscopic procedure. He then successfully underwent right nephrectomy, resection of the pseudoaneurysm, and closure of the fistula.

Original languageEnglish
Pages (from-to)143-145
Number of pages3
JournalAmerican Surgeon
Volume68
Issue number2
Publication statusPublished - 2002

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Laparoscopic Cholecystectomy
False Aneurysm
Arteriovenous Fistula
Inferior Vena Cava
Renal Artery
Diastolic Heart Failure
Vascular System Injuries
Nephrectomy
Surgical Instruments
Fistula
Renal Insufficiency
Heart Failure
Hypertension

ASJC Scopus subject areas

  • Surgery

Cite this

Renal artery pseudoaneurysm and arteriovenous fistula to the inferior vena cava : A late complication following laparoscopic cholecystectomy. / Lemmo, Gianfranco; Marrocco-Trischitta, Massimiliano M.; Manni, Raffaele; Snider, Francesco.

In: American Surgeon, Vol. 68, No. 2, 2002, p. 143-145.

Research output: Contribution to journalArticle

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