title: Endovascular management of grade V blunt renal trauma with associated splenic injury.
abstract: BACKGROUND
  A 15-year-old boy presented to hospital with tenderness in his left loin and hypochondrium, and frank hematuria; he was hemodynamically stable. The patient was overweight and had fallen onto his left flank from his bicycle 2 h previously.
  
  
  METHODS
  Physical examination, routine blood tests, contrast-enhanced CT of the abdomen and pelvis, renal MRI and percutaneous transfemoral angiography.
  
  
  METHODS
  Grade V blunt renal trauma, grade IV splenic injury and left renal vein thrombosis.
  
  
  RESULTS
  The patient received conservative management with supportive measures followed by percutaneous transfemoral angiography and embolization of the injured left kidney. He recovered well and was able to resume normal activities.
authors.affiliation: Department of Urology, Queen Elizabeth Hospital NHS Trust, Stadium Road, Woolwich, London SE18 4QH, UK. m_gulati@hotmail.com
authors.forename: Arun
authors.initials: A
authors.lastname: Sahai
authors.forename: Faye
authors.initials: F
authors.lastname: Cuthbert
authors.forename: Ramon
authors.initials: R
authors.lastname: Niekrash
authors.forename: Midhat
authors.initials: M
authors.lastname: Siddiqui
authors.forename: Manpreet Singh
authors.initials: MS
authors.lastname: Gulati
mesh_terms: D000293:Adolescent; D019468:Disease Management; D006801:Humans; D007668:Kidney / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000293:injuries*; D018810:Magnetic Resonance Angiography / Q000379:methods; D008297:Male; D011859:Radiography; D012082:Renal Veins; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries*; D020246:Venous Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy*