title: Acute traumatic renal arteriocalyceal fistula: selective angioembolisation for haemodynamic instability.
abstract: Abdominal angiography with selective arteriography and subsequent embolisation is an accepted management modality in the treatment of selected solid organ injuries following blunt abdominal trauma. This management practice is well established in the haemodynamically stable patient; however, this remains more controversial in haemodynamically compromised patients, though warrants consideration in both cases due to the associated benefits of non-operative management. This case report describes the successful non-operative management of a severe renal injury in a young polytraumatised patient following a high-speed motor vehicle crash. In addition, the rare CT diagnosis and management of an acute traumatic arteriocalcyeal fistula is discussed with a focus on the importance of renal parenchymal preservation.
authors.affiliation: Department of Trauma & General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.
authors.forename: Adam Carl
authors.initials: AC
authors.lastname: Philipoff
authors.affiliation: Department of Radiology, Royal Perth Hospital, Perth, Western Australia, Australia.
authors.forename: Duncan
authors.initials: D
authors.lastname: Ramsay
authors.affiliation: Department of Trauma & General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.
authors.forename: Dieter G
authors.initials: DG
authors.lastname: Weber
mesh_terms: D000007:Abdominal Injuries / Q000209:etiology; D000063:Accidents, Traffic; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007670:Kidney Calices; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D012077:Renal Artery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000209:etiology; D055815:Young Adult