Blunt renal vascular trauma resulting in arterial avulsion injury with a nephron‐sparing outcome. Issue 6 (7th June 2019)

• Record Type: Journal Article
• Authors: Clements, Warren; Moriarty, Heather K
• Is Part Of: Journal of medical imaging and radiation oncology. Volume 63:Issue 6(2019:Dec.)
• Page Start: 795
• Page End: 798
• Publication Date: 2019-06-07
• Subjects: avulsion -- bleeding -- pseudoaneurysm -- renal -- trauma; Radiology, Medical -- Periodicals; Radiology, Medical -- Australasia -- Periodicals; 616.0757
• DOI: 10.1111/1754-9485.12907
• Languages: English
• ISSNs: 1754-9477

Abstract

Summary: Blunt renal vascular traumatic injury is uncommon, and most injuries can be managed conservatively in a patient who is clinically stable. Pseudoaneurysm or active bleeding at presentation is rare and in an unstable patient, endovascular techniques offer a low morbidity option for rapid treatment. We present an unusual case of avulsion of a second order renal artery from the main renal artery, with active bleeding at presentation treated by excluding the bleed with a stent graft. This was complicated by delayed pseudoaneurysm formation, treated with a larger stent graft. This resulted in preservation of renal parenchyma and renal function in a young patient.