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Case Reports
. 2009 Jun;6(6):335-7.
doi: 10.1038/nrurol.2009.79.

Endovascular management of grade V blunt renal trauma with associated splenic injury

Arun Sahai  1 , Faye Cuthbert, Ramon Niekrash, Midhat Siddiqui, Manpreet Singh Gulati
Affiliations
Case Reports

Endovascular management of grade V blunt renal trauma with associated splenic injury

Arun Sahai et al. Nat Rev Urol. 2009 Jun.

Abstract

Background: A 15-year-old boy presented to hospital with tenderness in his left loin and hypochondrium, and frank hematuria; he was hemodynamically stable. The patient was overweight and had fallen onto his left flank from his bicycle 2 h previously.

Investigations: Physical examination, routine blood tests, contrast-enhanced CT of the abdomen and pelvis, renal MRI and percutaneous transfemoral angiography.

Diagnosis: Grade V blunt renal trauma, grade IV splenic injury and left renal vein thrombosis.

Management: The patient received conservative management with supportive measures followed by percutaneous transfemoral angiography and embolization of the injured left kidney. He recovered well and was able to resume normal activities.

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