Page 77 - Virtual Vascular Vol 4

Gangrene Renal aneurysm

62 year old lady with an incidental finding of a
A small (1cm diameter) right renal artery saccular
aneurysm near the hilum. These are increasingly
detected due to liberal use of CT scan in medical prac-

tice. If asymptomatic the threshold of intervention is
2cm (or larger), and smaller aneurysms can be safely
observed. First line treatment is generally coil emboli-
zation.
rather shocking photo of the gangrenous foot of an institutionalized patient. She
A is bedridden with multiple contractures and developed dry gengrene of her foot

which had progressed due to lack of care. The family refused amputation. Eventually
infection and pneumonia will prove fatal.

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