Iatrogenic pseudo-aneurysm of the subclavian artery and dissection of the aorta, secondary to central venous line insertion: a treatment dilemma!

complications (renal calculi and UTIs) or is discovered accidentally [3]. In the differential diagnosis, causes of obstructive uropathy and vesicoureteral reflux should be considered and excluded [5]. The diagnosis lies on the typical radiographic findings of the IVU [6] and renal ultrasonogram or CT scan, coupled to the normal wash-out pattern in renal scintigraphy [4–6]. Fluid intake should be advised and close follow-up with routine blood tests, urinalysis and annual IVU are all that are required [3]. Surgical intervention should be reserved for cases of confirmed nephrolithiasis and recurrent or relapsing UTIs.