Delayed life-threatening haematuria from a renal pseudoaneurysm caused by blunt renal trauma treated with selective embolization |
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Authors: | Giannopoulos Aris Manousakas Theodoros Alexopoulou Efthymia Brountzos Elias Papadoukakis Stefanos Kelekis Dimitrios |
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Institution: | First Department of Urology, University of Athens Medical School, Laikon Hospital, Athens, Greece. tmanous@hotmail.com |
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Abstract: | Pseudo-aneurysms complicating blunt renal traumas, although very rare, represent significant causes of secondary haematuria, potentially life-threatening. Initial surgical repair of the injured kidney does not preclude the presence of an obscure pseudo-aneurysm that could become evident later on. We herein present a patient with a grade III blunt renal trauma initially treated surgically. Thirty days after the trauma, he developed secondary haematuria caused by a renal pseudo-aneurysm located far from the oversewed area. This vascular lesion was successfully treated using selective arterial embolization. |
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