Paper Information

Title: 

"ANGIOEMBOLIZATION FOR PENETRATING OF KIDNEY TRAUMA"

Type: PAPER
Author(s): BARGHI MOHAMMAD REZA*,RAHMANI MOHAMMAD REZA
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PROPOSE: NONSURGICAL TREATMENT OF PENETRATING TRAUMA OF KIDNEY (ANGIOEMBOLIZATION) METHODS & MATERIALS: A 17 YEARS OLD MAN WAS REFERRED TO OUR HOSPITAL DUE TO A STAB WOUND TO THE RIGHT FLANK. TRAUMA HAD HAPPENED ABOUT 2 WEEKS AGO. HE HAD INTERMITTENT GROSS HEMATURIA BUT STABLE VITAL SIGNS. HE WAS UNDER OBSERVE FOR ABOUT 6 DAYS IN OUR HOSPITAL BUT INTERMITENT GROSS HEMATURIA CONTINUED. CT SCAN OF ABDOMEN REVEALED A SUB CAPSULAR HEMATOMA IN LOWER POLE OF RIGHT KIDNEY AND A PARENCHYMAL TEAR LARGER THAN 1CM WITHOUT ANY EXTRAVASATIONS (GRADE 3). IN TUP THE PEYLOCALLYCEAL SYSTEM WAS INTACT AND THERE WAS A SUSPICIOUS AREA OF SUB CAPSULAR HEMATOMA AND PARENCHYMAL LACERATION WITHOUT ANY EXTRAVASATIONS. RENAL ANGIOGRAPHY SHOWED A BLEEDING SEGMENTAL RENAL ARTERY IN LOWER POLE OF RIGHT KIDNEY. THIS ARTERY WAS EMBOLIZED.
RESULTS: AFTER EMBOLIZATION OF THE SEGMENTAL ARTERY IN CONTROL ANGIOGRAPHY THE BLEEDING HAD BEEN CEASED AND THE GROSS HEMATURIA DISAPPEARED.
DISCUSSION & CONCLUSION: IN THE PAST GENERALLY THE PENETRATING TRAUMA OF KIDNEYS WERE MANAGED WITH SURGICAL INTERVENTION, BUT NEWLY CONSERVATIVE TREATMENT OF SOME STAB WOUND OF KIDNEY COULD BE MANAGED COSERVATIVELY BY OBSERVATION AND ANGIOEMBOLIZATION.

 
Keyword(s): KIDNEY, PENETRATING TRAUMA
 
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