Intrarenal post-traumatic pseudoaneurysm-USG colour Doppler diagnosis: a case report with review of literature |
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Authors: | Muddassir Rashid S Zafar Abbas Faisal Haque S Aijaz Abbas Rizvi Wasif Mohammad Ali |
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Institution: | (1) Department of Radiodiagnosis, Jawaharlal Nehru Medical College Hospital, A.M.U., Aligarh, India;(2) Department of Physiology, Jawaharlal Nehru Medical College Hospital, A.M.U., Aligarh, India;(3) Department of Surgery, Jawaharlal Nehru Medical College Hospital, A.M.U., Aligarh, India;(4) 301 Rifa Apartments, Medical Road Dodhpur, Aligarh, U.P, 202002, India |
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Abstract: | Renal artery pseudoaneurysm, although a well-known complication in patients after penetrating trauma or iatrogenic injury,
has rarely been described after blunt torso trauma. A 22-year-old man suffered an accident while on a motorcycle. Upon arrival
in the Emergency Room, the patient was unconscious, hypotensive and had hematuria. Initial investigations revealed a fractured
shaft of the right femur, multiple rib fractures with hemothorax, extradural haematoma on the right side and a laceration
in the right kidney. After the evacuation of intracranial bleed, the patient was managed conservatively. The patient recovered
well and was discharged on the 15th post-trauma day. The patient was again present in the emergency room after 6 weeks with
1-week history of gross hematuria. Ultrasonography revealed an anechoic lesion in the right kidney with pulsatile flow on
colour Doppler. Further investigation with computed tomography renal angiography was done, which confirmed the pseudoaneurysm
of a branch of renal artery. The patient was referred to a higher centre where he was successfully managed with selective
arterial coil embolisation. |
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Keywords: | Pseudoaneurysm Blunt trauma Colour Doppler CT angiography |
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