Abstract
Hemodynamically stable patients with renal injury can be managed conservatively. Anatomy typically leads to physiologic confinement of urinomas or renal hematomas to the interfascial planes of the retroperitoneum. In the presented case there was unusual reperfusion 14 days after a successful embolization of a renal pseudoaneurysm, at this time 28 days after the initiating trauma. This article discusses the evolution, treatment options and possible underlying causes for the reperfusion of this late-onset renal pseudoaneurysm.
References
1.
Armenakas NA, Duckett CP, McAninch JW: Indications for nonoperative management of renal stab wounds. J Urol 1999;161:768-771.
2.
Blankenship JC, Gavant ML, Cox CE, Chauban RD: Importance of delayed imaging for blunt renal trauma. World J Surg 2001;25:1561-1564.
3.
Carroll PR, Klosterman PW, McAninch JW: Surgical management of renal trauma: analysis of risk factors, technique and outcome. J Trauma 1988;28:1071-1074.
4.
Heyns CF, de Klerk DP, de Kock ML: Stab wounds associated with haematuria - a review of 67 cases. J Urol 1983;130:228-231.
5.
Garg A, Gokhale A, Garg P, Patil P: Endovascular treatment of a delayed renal artery pseudoaneurysm following blunt abdominal trauma. Urol J 2007;4:184-186.
6.
Sarkar D, Lai A, Agarwal MM, Mavuduru RS, Kumar S, Singh S: Unexplained occurrence of multiple de novo pseudoaneurysms in patients with chronic kidney disease undergoing angioembolization for bleeding following percutaneous renal intervention: are we dealing with infection or vasculitis? Indian J Urol 2013;29:129-132.
7.
Etezadi V, Ghandi RT, Benenati JF, Rochon P, Gordon M, Benenati MJ, Alehashemi S, Katzen BT, Geisbüsch P: Endovascular treatment of visceral and renal artery aneurysms. J Vasc Interv Radiol 2011;22:1246-1253.
8.
Jinga V, Dorobat B, Youssef S, Radavoi GD, Braticevici B, Filipoiu F, Balgardean M: Transarterial embolization of renal vascular lesions after percutaneous nephrolithotomy. Chirurgia (Bucur) 2013;108:521-529.
9.
Poulakis V, Ferakis N, Becht E, Deliveliotis C, Duex M: Treatment of renal-vascular injury by transcatheter embolization: immediate and long-term effects on renal function. J Endourol 2006;20:405-409.
10.
Sakr MA, Deouki SE, Hegab SE: Direct percutaneous embolization of renal pseudoaneurysm. J Endourol 2009;23:875-878.
© 2014 S. Karger AG, Basel
2014
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