Endovascular management of grade V blunt renal trauma with associated splenic injury.
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.
Sahai
Arun
A
Department of Urology, Queen Elizabeth Hospital NHS Trust, Stadium Road, Woolwich, London SE18 4QH, UK. m_gulati@hotmail.com
Cuthbert
Faye
F
Niekrash
Ramon
R
Siddiqui
Midhat
M
Gulati
Manpreet Singh
MS
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*