Delayed life-threatening haematuria from a renal pseudoaneurysm caused by blunt renal trauma treated with selective embolization.
Pseudo-aneurysms complicating blunt renal traumas, although very rare, represent significant causes of secondary haematuria, potentially life-threatening. Initial surgical repair of the injured kidney does not preclude the presence of an obscure pseudo-aneurysm that could become evident later on. We herein present a patient with a grade III blunt renal trauma initially treated surgically. Thirty days after the trauma, he developed secondary haematuria caused by a renal pseudo-aneurysm located far from the oversewed area. This vascular lesion was successfully treated using selective arterial embolization.
Giannopoulos
Aris
A
First Department of Urology, University of Athens Medical School, Laikon Hospital, Athens, Greece. tmanous@hotmail.com
Manousakas
Theodoros
T
Alexopoulou
Efthymia
E
Brountzos
Elias
E
Papadoukakis
Stefanos
S
Kelekis
Dimitrios
D
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods; D006417:Hematuria / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D012077:Renal Artery; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000628:therapy*