Polymer-glue as a life and kidney function saver: a life-threatening hemorrhage in the ruptured upper pole artery of the kidney managed by percutaneous embolization — a case report and literature review
| Autor: | Łukasz Zapała, Izabela Wojtkowska, Ryszard Skiba, Artur A. Antoniewicz, Janina Stępińska, Cezary Kępka, Elżbieta Kremis, Mirosław Dziekiewicz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Kidney a life-threatening kidney hemorrhage Percutaneous business.industry medicine.medical_treatment General Medicine percutaneous embolization medicine.disease polymer-glue Intensive care unit law.invention Surgery Catheter Hematoma medicine.anatomical_structure Aortic valve replacement law medicine Medicine Radiology Embolization business Artery |
| Zdroj: | Open Medicine, Vol 8, Iss 3, Pp 339-342 (2013) |
| ISSN: | 2391-5463 |
| Popis: | In this paper we report the case of a nearly fatal hemorrhage in the artery of the renal upper pole that occurred in a 84-year-old woman on anticoagulation treatment in connection with aortic valve replacement 4 days prior to the incident. The artery was injured during the evacuation of a hematoma of the right pleural cavity. While the patient was in the intensive care unit recovering from cardiac valve surgery, the consulting urologist was summoned in order to cope with massive hematuria and acute urine retention. Unfortunately, conservative urological management based on catherization via a three-way catheter and constant transurethral lavage with saline was unsuccessful. Angio-computed tomography revealed a ruptured branch of the renal upper pole artery. A highly selective embolization using histoacryl injection during percutaneous angioplasty was performed. There were no complications in the following days. The patient was subject to postoperative follow-up at 3, 6 and 9 months and renal scintigraphy was performed at 6 months revealing symmetrical function of both kidneys without any changes in the upper pole of the right kidney. |
| Databáze: | OpenAIRE |
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