Introduction: Renal trauma is a relevant cause of morbidity in children older than 1 year. Most patients are currently managed conservatively, even in case of high-grade traumas; nevertheless, harmful complications may occur even in hemodynamically stable patients. We present a case of grade IV blunt renal trauma complicated by post-traumatic pseudoaneurysm. Case description: A 10-year-old girl was referred to our institution for grade IV trauma of the right kidney. During observation she had persistent hematuria that caused anemia. A second contrast-enhanced computed tomography scan revealed a posttraumatic pseudoaneurysm that was successfully treated by angiographic embolization. Conclusions: Although extremely rare after blunt renal trauma, post-traumatic renal pseudoaneurysm may cause severe blood loss and anemia, and angioembolization is therefore indicated. This condition should be suspected and move physicians to investigate further.

Renal pseudoaneurysm after blunt trauma in a 10-year-old girl: A case report / Sforza, Simone; Persano, Giorgio; Cini, Chiara; Sforzi, Idanna; Grosso, Antonio Andrea; Bronzini, Francesca; Bussolin, Leonardo; Acquafresca, Manlio; Masieri, Lorenzo. - In: UROLOGIA. - ISSN 0391-5603. - ELETTRONICO. - (2020), pp. 0-4. [10.1177/0391560319896155]

Renal pseudoaneurysm after blunt trauma in a 10-year-old girl: A case report

Sforza, Simone;Cini, Chiara;Sforzi, Idanna;Grosso, Antonio Andrea;Bronzini, Francesca;Bussolin, Leonardo;Masieri, Lorenzo
2020

Abstract

Introduction: Renal trauma is a relevant cause of morbidity in children older than 1 year. Most patients are currently managed conservatively, even in case of high-grade traumas; nevertheless, harmful complications may occur even in hemodynamically stable patients. We present a case of grade IV blunt renal trauma complicated by post-traumatic pseudoaneurysm. Case description: A 10-year-old girl was referred to our institution for grade IV trauma of the right kidney. During observation she had persistent hematuria that caused anemia. A second contrast-enhanced computed tomography scan revealed a posttraumatic pseudoaneurysm that was successfully treated by angiographic embolization. Conclusions: Although extremely rare after blunt renal trauma, post-traumatic renal pseudoaneurysm may cause severe blood loss and anemia, and angioembolization is therefore indicated. This condition should be suspected and move physicians to investigate further.
2020
0
4
Sforza, Simone; Persano, Giorgio; Cini, Chiara; Sforzi, Idanna; Grosso, Antonio Andrea; Bronzini, Francesca; Bussolin, Leonardo; Acquafresca, Manlio; ...espandi
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Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/1194882
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