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

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

This 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 th...

Full description

Bibliographic Details
Main Authors: Lukas Gstrein, Isabelle Antwerpen, Hans Martin Gissler, Maciej Kwiatkowski, Stephen Wyler, Matthias Walter
Format: Article
Language:English
Published: Elsevier 2019-05-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442018303619
id doaj-ff74b37e65af430eb652c44d7fe2c5f2
record_format Article
spelling doaj-ff74b37e65af430eb652c44d7fe2c5f22020-11-25T01:19:16ZengElsevierUrology Case Reports2214-44202019-05-0124Renal pseudoaneuryms and pulmonary embolism: A unique manifestation of complications following blunt renal traumaLukas Gstrein0Isabelle Antwerpen1Hans Martin Gissler2Maciej Kwiatkowski3Stephen Wyler4Matthias Walter5Department of Urology, Cantonal Hospital Aarau, Aarau, 5001, Switzerland; Department of Urology, University Hospital Zurich, Zurich, 8091, SwitzerlandDepartment of Urology, Cantonal Hospital Aarau, Aarau, 5001, SwitzerlandDepartment of Radiology, Cantonal Hospital Aarau, Aarau, 5001, SwitzerlandDepartment of Urology, Cantonal Hospital Aarau, Aarau, 5001, SwitzerlandDepartment of Urology, Cantonal Hospital Aarau, Aarau, 5001, SwitzerlandDepartment of Urology, Cantonal Hospital Aarau, Aarau, 5001, Switzerland; International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, V5Z 1M9, Canada; Corresponding author. ICORD, Blusson Spinal Cord Centre, 818 West 10th Ave., Vancouver, BC, V5Z 1M9, Canada.This 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. Keywords: Blunt renal trauma, Hematuria, Renal pseudoaneurysm, Selective angiographic embolizationhttp://www.sciencedirect.com/science/article/pii/S2214442018303619
collection DOAJ
language English
format Article
sources DOAJ
author Lukas Gstrein
Isabelle Antwerpen
Hans Martin Gissler
Maciej Kwiatkowski
Stephen Wyler
Matthias Walter
spellingShingle Lukas Gstrein
Isabelle Antwerpen
Hans Martin Gissler
Maciej Kwiatkowski
Stephen Wyler
Matthias Walter
Renal pseudoaneuryms and pulmonary embolism: A unique manifestation of complications following blunt renal trauma
Urology Case Reports
author_facet Lukas Gstrein
Isabelle Antwerpen
Hans Martin Gissler
Maciej Kwiatkowski
Stephen Wyler
Matthias Walter
author_sort Lukas Gstrein
title Renal pseudoaneuryms and pulmonary embolism: A unique manifestation of complications following blunt renal trauma
title_short Renal pseudoaneuryms and pulmonary embolism: A unique manifestation of complications following blunt renal trauma
title_full Renal pseudoaneuryms and pulmonary embolism: A unique manifestation of complications following blunt renal trauma
title_fullStr Renal pseudoaneuryms and pulmonary embolism: A unique manifestation of complications following blunt renal trauma
title_full_unstemmed Renal pseudoaneuryms and pulmonary embolism: A unique manifestation of complications following blunt renal trauma
title_sort renal pseudoaneuryms and pulmonary embolism: a unique manifestation of complications following blunt renal trauma
publisher Elsevier
series Urology Case Reports
issn 2214-4420
publishDate 2019-05-01
description This 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. Keywords: Blunt renal trauma, Hematuria, Renal pseudoaneurysm, Selective angiographic embolization
url http://www.sciencedirect.com/science/article/pii/S2214442018303619
work_keys_str_mv AT lukasgstrein renalpseudoaneurymsandpulmonaryembolismauniquemanifestationofcomplicationsfollowingbluntrenaltrauma
AT isabelleantwerpen renalpseudoaneurymsandpulmonaryembolismauniquemanifestationofcomplicationsfollowingbluntrenaltrauma
AT hansmartingissler renalpseudoaneurymsandpulmonaryembolismauniquemanifestationofcomplicationsfollowingbluntrenaltrauma
AT maciejkwiatkowski renalpseudoaneurymsandpulmonaryembolismauniquemanifestationofcomplicationsfollowingbluntrenaltrauma
AT stephenwyler renalpseudoaneurymsandpulmonaryembolismauniquemanifestationofcomplicationsfollowingbluntrenaltrauma
AT matthiaswalter renalpseudoaneurymsandpulmonaryembolismauniquemanifestationofcomplicationsfollowingbluntrenaltrauma
_version_ 1725139216469327872

Similar Items