External iliac artery pseudoaneurysm in patient with history
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A 66-year-old African-American male presented with a four-month history of asymptomatic hematuria. Interventional Radiology was consulted for embolization of bilateral native arteries in this patient on hemodialysis. His past medical history was significant for end-stage renal disease secondary to polycystic kidney disease. The patient underwent right kidney transplantation 21 years ago, which ultimately failed 15 years ago.CT scan of the pelvis showed multiple avidly enhancing lesions of various sizes throughout bilateral native kidneys. Subsequently, angiography was done in order to evaluate for embolization. A digitally subtracted oblique image of the right external iliac artery demonstrated a pseudoaneurysm. Finally, a digitally subtracted image after covered stent placement showed no pseudoaneurysm filling. Multiple bilateral hypervascular masses were suspected to be the source of the hematuria. Angiogram also showed an incidental finding of a pseudoaneurysm in the right external iliac artery.

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