Renal pseudoaneuryms and pulmonary embolism: A unique manifestation of complications following blunt renal trauma

Publication date: Available online 24 January 2019Source: Urology Case ReportsAuthor(s): Lukas Gstrein, Isabelle Antwerpen, Hans Martin Gissler, Maciej Kwiatkowski, Stephen Wyler, Matthias WalterAbstractThis case report presents a unique manifestation of complications in a 71-year-old man following blunt renal trauma. Initially, computed tomography (CT) revealed a traumatic left kidney laceration. Hematuria ceased quickly after ureteral stent placement. One week later, hematuria reoccurred while the patient was treated for pulmonary embolism. Multiphase CT revealed two renal pseudoaneurysms as the underlying cause. Renal pseudoaneurysms are commonly associated with surgery or inflammation and rarely seen after trauma. Selective angiographic embolization successfully stopped hematuria. Thereafter, the patient was hemodynamically stable to continue therapeutic thrombolysis. After discharge, the patient remained symptom-free and had an unremarkable follow up assessment.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research