Emergent treatment of active and delayed massive bleeding in a male with penetrating urethral trauma

Abstract

We have a case with penetrating urethral trauma which presented with emergent and delayed uncontrolled urethral massive hemorrhage. On angiography, pseudo aneurysm arising from right bulbourethral artery with active urethral extravasation that was managed with coil embolization.Also this report explains a new method implemented on the case to control massive urethral bleeding due to perineal trauma, which hasn't got complete response to standard management. According to the safety and efficiency of this method in controlling bleeding in this patient, it seems this new technique should be considered in cases with unresponsive massive hemorrhage to routine management.

Keywords

• Urethral trauma
• Massive hemorrhage
• Perineal trauma
• Pseudo aneurysm