Blunt renal vascular trauma resulting in arterial avulsion injury with a nephron-sparing outcome.
Aneurysm, False
/ complications
Computed Tomography Angiography
/ methods
Endovascular Procedures
/ methods
Humans
Kidney
Male
Renal Artery
/ diagnostic imaging
Stents
Treatment Outcome
Ultrasonography
/ methods
Vascular System Injuries
/ complications
Wounds, Nonpenetrating
/ complications
Young Adult
avulsion
bleeding
pseudoaneurysm
renal
trauma
Journal
Journal of medical imaging and radiation oncology
ISSN: 1754-9485
Titre abrégé: J Med Imaging Radiat Oncol
Pays: Australia
ID NLM: 101469340
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
27
02
2019
accepted:
15
05
2019
pubmed:
8
6
2019
medline:
20
6
2020
entrez:
8
6
2019
Statut:
ppublish
Résumé
Blunt renal vascular traumatic injury is uncommon, and most injuries can be managed conservatively in a patient who is clinically stable. Pseudoaneurysm or active bleeding at presentation is rare and in an unstable patient, endovascular techniques offer a low morbidity option for rapid treatment. We present an unusual case of avulsion of a second order renal artery from the main renal artery, with active bleeding at presentation treated by excluding the bleed with a stent graft. This was complicated by delayed pseudoaneurysm formation, treated with a larger stent graft. This resulted in preservation of renal parenchyma and renal function in a young patient.
Identifiants
pubmed: 31173450
doi: 10.1111/1754-9485.12907
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
795-798Informations de copyright
© 2019 The Royal Australian and New Zealand College of Radiologists.
Références
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Hoon Lim K, Kyu Ryeom H, Park J. Endovascular treatment of renal arterial perforation after blunt trauma: case report. Int J of Surgery Case Reports 2018; 42: 208-11.
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Sofocleous CT, Hinrichs CR, Hubbi B et al. Embolization of isolated lumbar artery injuries in trauma patients Cardiovasc Intervent Radiol 2005; 28: 730.
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Gandini R, Chiaravalloti A, Morosetti D et al. Long-term follow-up of endovascular treatment of renal artery aneurysms with covered stent deployment. European Society of Radiology Annual Meeting. 2015. Poster C-0626. https://doi.org/10.1594/ecr2015/c-0626