Delayed Refractory Urethrorrhagia Secondary to Traumatic Pseudoaneurysm of Bulbourethral Artery Managed by Superselective Coil Embolization.

Autor:	Ranjan R; Department of Urology, Kozhikode Government Medical College, Kozhikode, India., Vishal V; Department of Urology, Kozhikode Government Medical College, Kozhikode, India., Rajeevan AT; Department of Urology, Kozhikode Government Medical College, Kozhikode, India., Rahul KR; Department of Radiology, Kozhikode Government Medical College, Kozhikode, India., Shanmughadas KV; Department of Urology, Kozhikode Government Medical College, Kozhikode, India., Dineshan KM; Department of Urology, Kozhikode Government Medical College, Kozhikode, India., Venugopalan AV; Department of Urology, Kozhikode Government Medical College, Kozhikode, India., Cardoza F; Department of Urology, Kozhikode Government Medical College, Kozhikode, India.
Jazyk:	angličtina
Zdroj:	Journal of endourology case reports [J Endourol Case Rep] 2020 Dec 29; Vol. 6 (4), pp. 468-471. Date of Electronic Publication: 2020 Dec 29 (Print Publication: 2020).
DOI:	10.1089/cren.2020.0047
Abstrakt:	Background: Delayed persistent urethral hemorrhage caused by pseudoaneurysm of bulbourethral artery after straddle injury is a rare event. In this case report, we underline the cause, diagnostic methods, and image-guided treatment modality of straddle injury-induced symptomatic pseudoaneurysm of bulbourethral artery. Case Presentation: A 44-year-old Indian man, with history of straddle injury, was managed conservatively with per urethral Foley catheter placement. He had an uneventful initial period. One week after the injury, he complained of recurrent episodes of gross urethrorrhagia, which failed to resolve with conservative management. On further evaluation, he was found to have a pseudoaneurysm of bulbourethral artery, which was effectively managed by superselective intra-arterial coiling. Prompt diagnosis and timely management by superselective coiling helped in achieving desirable outcome without any undue complication of the injury and procedure. Conclusion: We report the largest pseudoaneurysm poststraddle injury reported till date. Considering its rarity, the desired diagnostic and treatment protocol has been highlighted. Using novel superselective angioembolization technique, adequate and permanent relief from symptoms and complications was achieved. Competing Interests: No competing financial interests exist. (Copyright 2020, Mary Ann Liebert, Inc., publishers.)
Databáze:	MEDLINE
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