case_images: PMC11787410_01
case_images: CT Abd/Pelvis demonstrating an 8.4 cm right renal artery pseudoaneurysm and renal atrophy.
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case_images: PMC11787410_01_gr1.jpg
case_images: fig1
case_images: Repeat cross-sectional imaging demonstrated an enlarging pseudoaneurysm of the right renal artery now measuring 8.4 cm (Fig. 1).
case_images: (A) Right pseudoaneurysm (dotted circle) and kidney with suprarenal and infrarenal inferior vena cava vascular control (white arrow demonstrates right renal artery identified in the interaortocaval space) (B) Surgical bed after right nephrectomy, en-bloc resection of pseudoaneurysm, and resection/reconstruction of the vena cava.
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case_images: PMC11787410_01_gr2.jpg
case_images: fig2
case_images: The specimen was then removed from the field and sent for permanent pathology (Fig. 2).
case_images: Gross specimen after bisection demonstrating the large mycotic aneurysm of the renal artery (white arrow), vein, and edge of inferior vena cava (red arrow).
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case_images: PMC11787410_01_gr3.jpg
case_images: fig3
case_images: Pathology evaluation of the right kidney and pseudoaneurysm demonstrated end-stage kidney with old necrosis bordered by fibrosis with no granulomatous inflammation identified (Fig. 3).