# Pseudoaneurysm after arterial reconstruction in kidney transplant nephrectomy: A case report and literature review

## TL;DR

A patient developed a life-threatening pseudoaneurysm after kidney transplant nephrectomy, requiring emergency treatment.

## Contribution

This case report highlights a rare but severe vascular complication following transplant nephrectomy.

## Key findings

- A 56-year-old man experienced a pseudoaneurysm after transplant nephrectomy, leading to shock.
- Emergency endovascular treatment was required to manage the bleeding.
- Vascular complications after transplant nephrectomy can be life-threatening and require vigilant postoperative care.

## Abstract

Pseudoaneurysm formation sometimes complicates transplant nephrectomy. We report a case of bleeding from a pseudoaneurysm after transplantation nephrectomy that resulted in shock and emergency endovascular treatment.

A 56‐year‐old man underwent transplant nephrectomy 3 years and 9 months following transplantation for pyelonephritis‐related infection control. On postoperative day 7, he developed sudden pain in the lower abdomen and subsequently went into shock. A pseudoaneurysm at the anastomosis was detected, and urgent endovascular treatment was performed to stem the bleeding.

Vascular complications, including pseudoaneurysms, following transplant nephrectomy can be life‐threatening, and comprehensive awareness is needed in careful postoperative management.