MANAGEMENT OF RENAL STAB WOUNDS BY ARTERIOGRAPHIC EMBOLIZATION - CASE-REPORT

被引:13
|
作者
KHAN, AB [1 ]
REID, AW [1 ]
机构
[1] ROYAL INFIRM,DEPT RADIOL,GLASGOW G31 2ER,SCOTLAND
来源
关键词
D O I
10.3109/00365599409180483
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
A 26 year old man was admitted with multiple stab wounds to his chest, abdomen and right loin. He was noted to have a large haemothorax, a tender abdomen and frank haematuria. At laparotomy, there was a small non expanding retroperitoneal haematoma that was not explored, and no visceral damage. Post operatively he continued to have haematuria. IVP and ultrasound showed perirenal haematoma and clot in the upper pole calyces but was otherwise normal. Renal arteriography demonstrated a pseudo-aneurysm in the right mid region, feeding an arteriovenous fistula (Figure 1). Selective renal artery embolisation with spring occlusion coils was performed which occluded the branch supplying the false aneurysm and fistula (Figure 2). He had no further haematuria. At six month follow up he remained well, normotensive and with no haematuria. Isotope renogram showed 30% loss of function at the upper pole.
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页码:109 / 110
页数:2
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