title: Transarterial coil embolization in treatment of gross hematuria following self-inflicted stab wound in a horseshoe kidney.
abstract: Horseshoe kidney is an uncommon anomaly of the urinary system with an increased risk of injury during penetrating and blunt abdominal traumas. Self-inflicted abdominal stab wound, a rare type of abdominal injury, accounts for only a small percentage of suicidal attempts and may be infrequently encountered by physicians in trauma centers. Psychiatric disorders and alcohol or drug abuse are common risk factors in cases of self-stabbing. Here we report a rare case of self-stabbing of a horseshoe kidney. The case was a 19-year-old man with self-inflicted abdominal stab wound who was referred to our department of radiology due to re-occurred gross hematuria three days after exploratory laparotomy and surgical repair of injured abdominal organs. A horseshoe kidney was incidentally found in the patient's abdominal computed tomography. Renal angiography revealed active contrast extravasation from one of the segmental arteries. Selective transarterial embolization with a coil was successfully performed to control the hematuria.
authors.affiliation: Department of Radiology, Vascular and Endovascular Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 9137913316, Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Pezeshki Rad
authors.forename: Hassan
authors.initials: H
authors.lastname: Ahmadnia
authors.forename: Mahboobeh
authors.initials: M
authors.lastname: Abedi
authors.forename: Mohammad-Sadegh
authors.initials: MS
authors.lastname: Abedi
mesh_terms: D000007:Abdominal Injuries; D004621:Embolization, Therapeutic; D000069337:Fused Kidney; D006417:Hematuria; D006801:Humans; D007668:Kidney / Q000293:injuries; D014951:Wounds, Stab