Young man stabbed into his flank

 

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Doctor's Information

Name : Hamidreza
Family :Haghighatkhah
Affiliation : ----------------
Academic Degree: ----------------
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Mani Armand

 

Patient's Information

Gender : Male
Age : 31

 

Case Section

Interventional Radiology

 

Clinical Summary

Young man stabbed into his flank

 

 

Imaging Procedures and Findings

Selective renal arteriogram depicts a pseudoaneurysm in a segmental branch of renal artery at its lower pole. No evidence of A-V fistula is seen.

 

Discussion

Injury to kidney is not rare in either penetrating or major blunt trauma. A full range of vascular injuries can be seen from hematuria without visible injury (grade 1) to a shattered kidney or renal hilum avulsion (grade 5). Angiography is most often performed in these patients to determine the extent of injury and therapeutic planning, which may be surgical or via endovascular means. A special type of trauma to the kidney, of course, is iatrogenic, including biopsy or catheter placement. This also includes the renal transplant, which might be undergoing repeated biopsies. Angiography is performed to determine the site and nature of the injury, which could be pseudoaneurysm, arteriovenous fistula, or even extravasation. Most of these injury sites are amenable to endovascular treatment, most often by subselective catheterization and coiling.

 

Final Diagnosis

Segmental renal pseudoaneurysm

 

References

Brant WE, Helms CA. Fundamentals of Diagnostic Radiology, 3rd edition

 

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