Journal List > Korean J Urol > v.49(2) > 1005059

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Hwang, Cheon, Moon, Lee, Choo, Hwang, and Park: Renal Ruptures with Active Bleeding Treated with Emergency Selective Renal Arterial Embolization
Case Report
Korean Journal of Urology

Korean Journal of Urology 2008; 49(2): 177-181.

Published online: 29 February 2008

DOI: https://doi.org/10.4111/kju.2008.49.2.177

Renal Ruptures with Active Bleeding Treated with Emergency Selective Renal Arterial Embolization

Hyun Ho Hwang, Sang Hyeon Cheon, Kyung Hyun Moon, Seung Kyu Lee, Hyun Soo Choo, Jae Cheol Hwang1, Ro Jung Park

Department of Urology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

1Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

rjpark@uuh.ulsan.kr

Received 12 September 2007       Accepted 3 January 2008

Copyright © 2008 The Korean Urological Association

Abstract

Selection of a treatment modality for traumatized renal rupture depends on the renal injury grade, hemodynamic stability, combined organ injury, and the physician's experience. Treatment for renal injury tends to be conservative to maintain renal function and lessen the morbidity of surgery. If renal injuries were well-staged and selected by radiologic evaluation, hemodynamically stable patients with significant injuries (grades II through V) can usually be managed without surgical exploration. We report 3 cases of grade 4 renal injuries successfully treated with selective renal arterial embolization.

Keywords: Renal injury, Embolization

Figures and Tables

Fig. 1
A 34-year-old woman. (A) and (B) show active bleeding at the injured kidney, suggesting grade IV renal injury on CT scan. (C) shows pseudoaneurysm and blood extravasation suggesting, active bleeding of the kidney on angiography. (D) shows the picture that there was no extravasation after selective embolization.
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Fig. 2
A 41-year-old man. (A) and (B) show active bleeding at the injured kidney, suggesting grade IV renal injury on CT scan. (C) shows pseudoaneurysm and blood extravasation suggesting, active bleeding of the kidney on angiography. (D) shows the picture that there was no extravasation after selective embolization.
kju-49-177-g002
Fig. 3
A 16-year-old boy. (A) and (B) show active bleeding at the injured kidney, suggesting grade IV renal injury on CT scan. (C) shows pseudoaneurysm and blood extravasation, suggesting active bleeding of the kidney on angiography. (D) shows that there was no extravasation after selective embolization.
kju-49-177-g003

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