Angioembolization of renal artery pseudoaneurysm in blunt trauma abdomen

Abstract

Pseudoaneurysm of the renal artery is a presentation of blunt abdominal injury. We present the case of a 40-year-old male with a history of road traffic accident with a complaint of severe abdominal pain and distention of the abdomen. Contrast-enhanced computed tomography (CECT) shows large perinephric hematoma with free fluid in the abdomen. He was treated conservatively for 48 h but having persistence hypotension with increase free fluids in the abdomen, so mesenteric injury and bowel ischemia was suspected and laparotomy performed and found retroperitoneal hematoma and rest are normal. After that he had persistent hematuria with shock. Repeat CECT showed large pseudoaneurysm of the right renal artery with extravasation of contrast with clot in the bladder. In view this condition, renal artery angioembolization was done.

Keywords

• angioembolization
• blunt trauma abdomen
• renal artery pseudoaneurysm