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Intrarenal artery pseudoaneurysm after blunt abdominal trauma: a case report of successful superselective angioembolization

Authors Antunes-Lopes T, Pinto R, Morgado P, Madaleno P, Silva J, Silva C, Cruz F

Received 26 November 2013

Accepted for publication 15 January 2014

Published 2 April 2014 Volume 2014:6 Pages 17—20


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 6

T Antunes-Lopes,1,2 R Pinto,1,2 P Morgado,3 P Madaleno,3 J Silva,1,2 C Silva,1,2 F Cruz1,2

1Department of Urology, Hospital de São João, 2Faculty of Medicine, University of Porto, 3Department of Radiology, Hospital de São João, Porto, Portugal

Abstract: Renal artery pseudoaneurysm is a very rare complication after blunt trauma injury. We report on a case of a 54-year-old man admitted to our hospital for right flank pain and gross hematuria, 5 days after blunt abdominal trauma. The diagnosis of interlobar renal pseudoaneurysm was established by a computed tomography scan and confirmed by angiography. Successful superselective angioembolization was performed. This radiographic intervention is an effective and minimally invasive technique to stop active bleeding from renal artery pseudoaneurysms, when patients are hemodynamically stable and where technically feasible. A review of the literature was carried out.

Keywords: delayed hematuria, blunt renal trauma, minimally invasive technique

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