PMID- 31655572
OWN - NLM
STAT- MEDLINE
DCOM- 20200128
LR  - 20200128
IS  - 1471-2482 (Electronic)
IS  - 1471-2482 (Linking)
VI  - 19
IP  - 1
DP  - 2019 Oct 26
TI  - Think twice before stent insertion for renal artery aneurysm with elusive 
      etiology: a case report.
PG  - 154
LID - 10.1186/s12893-019-0622-5 [doi]
LID - 154
AB  - BACKGROUND: Endovascular treatment has been recognized as the first line therapy 
      for renal artery aneurysm (RAA). However, RAA related with malignancies had been 
      sporadically reported in the literature. Stent insertion should be 
      contraindicated for RAAs with malignant etiology, whereas surgery be optimal. 
      CASE PRESENTATION: A 40-year-old female underwent covered stent insertion to 
      exclude the left RAA for suspected Takayasu arteritis in a reginal hospital. 
      Three months later the RAA recurred with sign of threatened rupture, and the 
      patient was transferred for salvage embolization with coils and thrombin 
      injection. However, 20 days after the embolization procedure, multiple painful 
      subcutaneous nodules developed in her flanks. Undifferentiated sarcoma was 
      revealed by the pathological biopsy of the nodules. The RAA in this case was most 
      likely related with the malignancy. CONCLUSION: Malignancy was the most likely 
      etiology behind recurrent aneurysm in this case. Definite diagnosis is mandatory 
      for interventional radiologists before stent insertion for treatment of RAA.
FAU - Zhang, Jian-Zhong
AU  - Zhang JZ
AUID- ORCID: 0000-0003-4019-5845
AD  - Department of Urinary Surgery, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
FAU - Zhang, Peng
AU  - Zhang P
AUID- ORCID: 0000-0001-9004-8144
AD  - Department of Urinary Surgery, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
FAU - Wu, Li-Yang
AU  - Wu LY
AUID- ORCID: 0000-0002-3404-7232
AD  - Department of Urinary Surgery, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
FAU - Wang, Yong
AU  - Wang Y
AUID- ORCID: 0000-0003-4106-0432
AD  - Department of Urinary Surgery, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
FAU - Gao, Kun
AU  - Gao K
AUID- ORCID: 0000-0002-4504-3026
AD  - Department of Interventional Radiology, Beijing Chaoyang Hospital, Capital 
      Medical University, Beijing, China.
FAU - Huang, Qiang
AU  - Huang Q
AUID- ORCID: 0000-0002-5949-1225
AD  - Department of Interventional Radiology, Beijing Chaoyang Hospital, Capital 
      Medical University, Beijing, China. hq0713@163.com.
FAU - Wang, Xiao-Hui
AU  - Wang XH
AUID- ORCID: 0000-0001-6085-3994
AD  - Department of Pathology, the 1st Affiliated Hospital of Zhengzhou University, 
      Zhengzhou, Henan, China.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20191026
PL  - England
TA  - BMC Surg
JT  - BMC surgery
JID - 100968567
SB  - IM
MH  - Adult
MH  - Aneurysm/*surgery
MH  - Embolization, Therapeutic/methods
MH  - Female
MH  - Humans
MH  - Renal Artery/*surgery
MH  - Sarcoma/*diagnosis
MH  - *Stents
MH  - Treatment Outcome
PMC - PMC6815461
OTO - NOTNLM
OT  - Embolization
OT  - Renal artery aneurysm (RAA)
OT  - Stent insertion
OT  - Undifferentiated sarcoma
COIS- The authors declare that they have no competing interests.
EDAT- 2019/10/28 06:00
MHDA- 2020/01/29 06:00
PMCR- 2019/10/26
CRDT- 2019/10/28 06:00
PHST- 2019/07/11 00:00 [received]
PHST- 2019/10/10 00:00 [accepted]
PHST- 2019/10/28 06:00 [entrez]
PHST- 2019/10/28 06:00 [pubmed]
PHST- 2020/01/29 06:00 [medline]
PHST- 2019/10/26 00:00 [pmc-release]
AID - 10.1186/s12893-019-0622-5 [pii]
AID - 622 [pii]
AID - 10.1186/s12893-019-0622-5 [doi]
PST - epublish
SO  - BMC Surg. 2019 Oct 26;19(1):154. doi: 10.1186/s12893-019-0622-5.