Renal allograft laceration treated by superselective embolization.
OBJECTIVE
To report an illustrative case demonstrating the efficacy of endovascular treatment for traumatic blunt renal allograft injury.


METHODS
A 19-year-old man sustained an injury to his renal allograft after a traffic accident secondary to lap belt compression. Angiography revealed contrast extravasation from 2 disrupted upper pole renal artery branches, which were successfully embolized with microcoils. The creatinine level was transiently elevated to 4.1 mg/dL, but it improved to 2.9 mg/dL at discharge 13 days after admission. After 1 year, the serum creatinine level was 1.9 mg/dL.


CONCLUSIONS
As in the native kidney, superselective embolization can also be used safely in the management of blunt injury to a renal allograft, avoiding surgery and preserving graft function.
Cabello
Ramiro
R
Department of Urology, Gregorio Marañon General Hospital, Madrid, Spain. ramirocabello@telefonica.net
Acosta
Debora
D
Echenagusia
Miguel
M
Navas
Ana
A
Rodriguez
Gracia
G
Hernandez
Carlos
C
D000063:Accidents, Traffic; D000328:Adult; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries*; D016030:Kidney Transplantation; D022125:Lacerations / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*