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Case Reports
. 2015 Nov 1;1(1):50-1.
doi: 10.1089/cren.2015.0009. eCollection 2015.

Perineal Pseudoaneurysm from Traumatic Foley Removal Leads to Recurrent Life-Threatening Hematuria

Lorraine Min-Shan Liang  1 , Jingbing Xue  2 , Erdal Erturk  1
Affiliations
Case Reports

Perineal Pseudoaneurysm from Traumatic Foley Removal Leads to Recurrent Life-Threatening Hematuria

Lorraine Min-Shan Liang et al. J Endourol Case Rep. .

Abstract

Hematuria resulting from urethral traumatic catheter insertion and removal is often encountered. Usually, hematuria resolves with conservative measures. We report a case of traumatic Foley removal leading to intermittent life-threatening hematuria resulting in blood loss anemia requiring multiple transfusions and multiple episodes of hypotension requiring pressors. A pelvic angiogram revealed a pseudoaneurysm of the left pudendal artery, which was treated with microcoil embolization leading to resolution of bleeding.

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Figures

<b>FIG. 1.</b>
FIG. 1.
Aortogram with arrow pointing to pseudoaneurysm of the perineal branch of the left pudendal artery.
<b>FIG. 2.</b>
FIG. 2.
(a) Selective angiography demonstrating pseudoaneurysmal dilation of the perineal branch of the left pudendal artery. (b) Angiography shot after coiling of the pseudoaneurysm. This illustrates the lack of blood flow beyond the coil and no enhancement of the previously visualized pseudoaneurysm.
<b>FIG. 3.</b>
FIG. 3.
CT angiography demonstrates decreased enhancement of the left spongiosal tissue compared with the right spongiosal tissue after selective angioembolization.
See this image and copyright information in PMC

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