Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000500356 |
Resumo: | CONTEXT: Renal artery pseudoaneurysm is a rare complication after renal injury but should be suspected whenever there is recurrent hematuria after renal trauma. CASE REPORTS: We present three cases of pseudoaneurysm after blunt renal trauma and a review of the literature. All patients underwent renal angiography. Two cases were diagnosed during the initial hospital stay due to hematuria, or in the follow-up period during recovery. One patient was hemodynamically unstable. Two patients successfully underwent coil embolization in a single session. In the other case, selective embolization was attempted, but was unsuccessful because artery catheterization was impossible. Procedural and medical success and complications were retrospectively assessed from the patients' records. The clinical presentation, treatment options and clinical decisions are discussed. CONCLUSIONS: Renal artery pseudoaneurysm may develop acutely or even years after the initial injury. Signs and symptoms may have a wide spectrum of presentation. Selective angiographic embolization is an effective treatment that reduces the extent of parenchymal infarction. |
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Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literatureHematuriaRenal arteryWounds, nonpenetratingAneurysmEmbolization, therapeutic CONTEXT: Renal artery pseudoaneurysm is a rare complication after renal injury but should be suspected whenever there is recurrent hematuria after renal trauma. CASE REPORTS: We present three cases of pseudoaneurysm after blunt renal trauma and a review of the literature. All patients underwent renal angiography. Two cases were diagnosed during the initial hospital stay due to hematuria, or in the follow-up period during recovery. One patient was hemodynamically unstable. Two patients successfully underwent coil embolization in a single session. In the other case, selective embolization was attempted, but was unsuccessful because artery catheterization was impossible. Procedural and medical success and complications were retrospectively assessed from the patients' records. The clinical presentation, treatment options and clinical decisions are discussed. CONCLUSIONS: Renal artery pseudoaneurysm may develop acutely or even years after the initial injury. Signs and symptoms may have a wide spectrum of presentation. Selective angiographic embolization is an effective treatment that reduces the extent of parenchymal infarction. Associação Paulista de Medicina - APM2013-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000500356Sao Paulo Medical Journal v.131 n.5 2013reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2013.1315488info:eu-repo/semantics/openAccessYamacake,Kleiton Gabriel RibeiroLucon,MarcosLucon,Antonio MarmoMesquita,Jose Luiz BorgesSrougi,Migueleng2013-12-03T00:00:00Zoai:scielo:S1516-31802013000500356Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2013-12-03T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature |
title |
Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature |
spellingShingle |
Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature Yamacake,Kleiton Gabriel Ribeiro Hematuria Renal artery Wounds, nonpenetrating Aneurysm Embolization, therapeutic |
title_short |
Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature |
title_full |
Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature |
title_fullStr |
Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature |
title_full_unstemmed |
Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature |
title_sort |
Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature |
author |
Yamacake,Kleiton Gabriel Ribeiro |
author_facet |
Yamacake,Kleiton Gabriel Ribeiro Lucon,Marcos Lucon,Antonio Marmo Mesquita,Jose Luiz Borges Srougi,Miguel |
author_role |
author |
author2 |
Lucon,Marcos Lucon,Antonio Marmo Mesquita,Jose Luiz Borges Srougi,Miguel |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Yamacake,Kleiton Gabriel Ribeiro Lucon,Marcos Lucon,Antonio Marmo Mesquita,Jose Luiz Borges Srougi,Miguel |
dc.subject.por.fl_str_mv |
Hematuria Renal artery Wounds, nonpenetrating Aneurysm Embolization, therapeutic |
topic |
Hematuria Renal artery Wounds, nonpenetrating Aneurysm Embolization, therapeutic |
description |
CONTEXT: Renal artery pseudoaneurysm is a rare complication after renal injury but should be suspected whenever there is recurrent hematuria after renal trauma. CASE REPORTS: We present three cases of pseudoaneurysm after blunt renal trauma and a review of the literature. All patients underwent renal angiography. Two cases were diagnosed during the initial hospital stay due to hematuria, or in the follow-up period during recovery. One patient was hemodynamically unstable. Two patients successfully underwent coil embolization in a single session. In the other case, selective embolization was attempted, but was unsuccessful because artery catheterization was impossible. Procedural and medical success and complications were retrospectively assessed from the patients' records. The clinical presentation, treatment options and clinical decisions are discussed. CONCLUSIONS: Renal artery pseudoaneurysm may develop acutely or even years after the initial injury. Signs and symptoms may have a wide spectrum of presentation. Selective angiographic embolization is an effective treatment that reduces the extent of parenchymal infarction. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000500356 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802013000500356 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2013.1315488 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.131 n.5 2013 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209263849308160 |