Renal Artery Pseudoaneurysm in Kawasaki Disease

Andrew Chen; Merrit DeBartolo; Frank Darras; John Ferretti; Robert Wasnick

doi:10.1016/j.urology.2016.05.053

Renal Artery Pseudoaneurysm in Kawasaki Disease

Urology. 2016 Dec:98:165-166. doi: 10.1016/j.urology.2016.05.053. Epub 2016 Jun 7.

Authors

Andrew Chen¹, Merrit DeBartolo², Frank Darras², John Ferretti³, Robert Wasnick²

Affiliations

¹ Department of Urology, Stony Brook University School of Medicine, Stony Brook, NY. Electronic address: [email protected].
² Department of Urology, Stony Brook University School of Medicine, Stony Brook, NY.
³ Department of Radiology, Stony Brook University School of Medicine, Stony Brook, NY.

PMID: 27287282
DOI: 10.1016/j.urology.2016.05.053

Abstract

Whereas coronary aneurysms are commonly associated with Kawasaki disease, involvement of the renal vasculature is exceedingly rare. Genitourinary involvement in patients with Kawasaki disease is typically limited to sterile pyuria and proteinuria. In this case, a 13-year-old girl who presented with right flank pain and microhematuria was found to have an intraparenchymal hemorrhagic mass on computerized tomography scan. Renal arteriography confirmed the diagnosis of pseudoaneurysm in a lower pole segmental artery branch and complete occlusion was achieved with endovascular embolization.

MeSH terms

Adolescent
Aneurysm, False / diagnosis
Aneurysm, False / etiology*
Aneurysm, False / therapy
Angiography
Embolization, Therapeutic / methods*
Female
Humans
Mucocutaneous Lymph Node Syndrome / complications*
Renal Artery*
Tomography, X-Ray Computed