Successful angioembolization of renal artery pseudoaneurysms after blunt abdominal trauma.
We report a case of minimally invasive management of renal artery pseudoaneurysms after blunt abdominal trauma. A 44-year-old man developed gross hematuria after a motor vehicle collision. The initial radiographic evaluation revealed only a parenchymal laceration of the right kidney, and the patient was treated conservatively. Persistent gross hematuria necessitated repeat renal angiography that revealed numerous small pseudoaneurysms. Angioembolization was successfully performed with minimal compromise of the renal parenchyma. Transcatheter embolization is safe and effective for controlling hemorrhage from traumatic renal artery pseudoaneurysms and should be the initial treatment of choice in hemodynamically stable patients.
Miller
David C
DC
Department of Urology, University of Michigan School of Medicine, Ann Arbor, Michigan 48109, USA.
Forauer
Andrew
A
Faerber
Gary J
GJ
D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D012077:Renal Artery / Q000000981:diagnostic imaging*; D014949:Wounds, Nonpenetrating / Q000150:complications*