Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Renal Artery Pseudoaneurysm after Blunt Renal Trauma

신손상 후 발생한 신장동맥 거짓동맥류

  • Jung, Eun-Hong (Department of Urology, Bun Dang Jesaeng General Hospital) ;
  • Kim, Eun-Seok (Department of Urology, Bun Dang Jesaeng General Hospital) ;
  • Park, Hyeong-Cheol (Department of Urology, Bun Dang Jesaeng General Hospital) ;
  • Mun, Geun-Bae (Department of Urology, Bun Dang Jesaeng General Hospital) ;
  • Jang, Seok-Heun (Department of Urology, Bun Dang Jesaeng General Hospital) ;
  • Kim, Jae-Il (Department of Urology, Bun Dang Jesaeng General Hospital) ;
  • Son, Jung-Hwan (Department of Urology, Bun Dang Jesaeng General Hospital) ;
  • Ha, Yeong-Rok (Department of Emergency Medicine, Bun Dang Jesaeng General Hospital)
  • 정은홍 (분당제생병원 비뇨기과) ;
  • 김은석 (분당제생병원 비뇨기과) ;
  • 박형철 (분당제생병원 비뇨기과) ;
  • 문근배 (분당제생병원 비뇨기과) ;
  • 장석흔 (분당제생병원 비뇨기과) ;
  • 김재일 (분당제생병원 비뇨기과) ;
  • 손정환 (분당제생병원 비뇨기과) ;
  • 하영록 (분당제생병원 응급의학과)
  • Received : 2009.06.22
  • Accepted : 2009.10.20
  • Published : 2009.12.30
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Abstract

Renal artery pseudoaneurysm after blunt renal trauma is an uncommon complication of delayed hemorrhage, and diagnostic difficulties are experienced due to its rarity. Delayed hemorrhage after renal trauma is a life-threatening complication. Angiography is considered the gold standard to diagnose a traumatic renal artery pseudoaneurysm. We report here a case of delayed bleeding from a renal artery pseudoaneurysm that was diagnosed at 17 days after the injury and that was managed successfully with selective renal artery embolization without medical complication.

Keywords

References

  1. Santucci RA, Wessells H, Bartsch G, Descrotes J, Heyns CF, Mcaninch JW, et al. Evaluation and man-agement of renal injuries: consensus statement of the renal trauma subcommittee BJU Int 2004;93:937-54 https://doi.org/10.1111/j.1464-4096.2004.04820.x
  2. Buckley JC, McAninch JW. Selecitive management of isolated and nonisolated garde Ⅳ renal injuries. J Urol 2006;176:2498-502 https://doi.org/10.1016/j.juro.2006.07.141
  3. Lee DG, Lee SJ. Delayed hemorrhage from a pseudoaneurysm after blunt renal trauma. Int J Urol 2005;12:909-11 https://doi.org/10.1111/j.1442-2042.2005.01179.x
  4. Heyns CF, Klerk DP, Kock ML. Stab wound associated with hematuria: a review of 67 cases. J Urol 1983;130:228-31 https://doi.org/10.1016/S0022-5347(17)51077-0
  5. Jebra VA, El I, Achouh PE, Chelala D, Tabet G, Karam B. Renal artery pseudoaneurysm after blunt abdominal trauma. J Vasc Surg 1998;27:362-5 https://doi.org/10.1016/S0741-5214(98)70368-4
  6. Heyns CF, Vollenhoven P. Increasing role of angiography and segmental artery embolization in the management of renal stab wounds. J Urol 1992;147:1231-4 https://doi.org/10.1016/S0022-5347(17)37524-9
  7. Lee RS, Porter JR. Traumatic renal artery pseudoaneurysm: diagnosis and management techniques. J Trauma 2003;55:972-8 https://doi.org/10.1097/01.TA.0000032251.70194.65