Mauricio Pasten, MD. Caja Petrolera de Salud
Male Patient 44 years old, with sudden abdominal pain localize in right inferior quadrant and lumbar region, ultrasound was perform reported normal, WBC 14000 HB15, rest of the laboratory and vital signs normal. We decided to perform a CT scan that shows a liquid collection in retroperitoneum with no other important sign. Patient with no history of previous diseases, no trauma reported. We decided to perform a laparotomy, doing an incision in the midline infra umbilicus, we found all organs without pathology except for Meckel diverticulum that was not complicated, during the surgery we found a retroperitoneal hematoma in the right hemi abdomen that was temporally controlled, with no hemodynamic changes. We decide to perform a CT angiogram that shows a renal artery aneurism rupture, so we prolong the incision in the midline and we got access to the retroperitoneal region, finding a 2cm saccular renal artery with a rupture. A right nephrectomy was perform that involves this renal artery saccular region, a repair in vena cava was perform and an incidental appendectomy. We perform exploration of the abdomen, no other organs were involved, we left drainages localize in right retroperitoneum. Patient was admitted in the intensive care unit for resuscitation and renal replacement therapy, the patient stabilized his vital sings and also the hypovolemic shock was controlled. The patient stay in UCI for 4 days, in good conditions, adequate urinary function, and creatinine values normal. He stay in surgery unit for one week more, tolerating oral diet, in good conditions. Follow up of the patient was perform in surgery consult.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79231
Program Number: P138
Presentation Session: Poster (Non CME)
Presentation Type: Poster
