Spontaneous retroperitoneal haemorrhage following re-perfusion of an ischaemic kidney leading to emergency trauma nephrectomy.

Autor:	Barns ME; Sir Charles Gardiner Hospital, Department of Urology, Perth, Western Australia, Australia., Hanna J; Sir Charles Gardiner Hospital, Department of Urology, Perth, Western Australia, Australia., Kuan M; Sir Charles Gardiner Hospital, Department of Urology, Perth, Western Australia, Australia.
Jazyk:	angličtina
Zdroj:	Urology case reports [Urol Case Rep] 2023 Jun 25; Vol. 50, pp. 102464. Date of Electronic Publication: 2023 Jun 25 (Print Publication: 2023).
DOI:	10.1016/j.eucr.2023.102464
Abstrakt:	Here we present a rare case of life-threatening spontaneous renal haemorrhage following elective vascular surgery. A 73-year-old gentleman presents to the ED with acute onset right sided flank pain, 24 hours post bilateral renal artery stent insertion for renal artery stenosis. Subsequent angiography demonstrated bilateral renal artery stent occlusion with near complete bilateral kidney infarction. The patient urgently underwent bilateral renal artery thrombectomy. Post-operatively the patient developed severe unilateral flank pain and became haemodynamically unstable. Subsequent imaging revealed a large right sided retroperitoneal haematoma with active arterial bleeding. The patient ultimately underwent a right sided trauma nephrectomy for haemorrhage control. (© 2023 Published by Elsevier Inc.)
Databáze:	MEDLINE
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