An isolated traumatic renal artery pseudoaneurysm treated by renal artery stent insertion: a case report presenting a nephron-sparing approach

Abstract Penetrating or blunt traumas can rarely lead to renal artery pseudoaneurysms (RAPs). Renal parenchymal lacerations usually accompany them, and nephrectomy is performed in these cases. Although angioembolization of the renal artery can negate the need for nephrectomy while treating the RAP, it is not a nephron-sparing procedure. Herein, we present a case of isolated (i.e. without accompanying renal laceration) left RAP. During conservative follow-up, the RAP enlarged, and subsequently, it was treated by renal artery stent insertion. An expandable covered stent was used during this procedure. The renal function was preserved without experiencing any complications.

[1]  H. Durmaz,et al.  Transcatheter embolization in pediatric blunt renal trauma: Case report and review of the literature. , 2020, Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES.

[2]  M. Srougi,et al.  Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature. , 2013, Sao Paulo medical journal = Revista paulista de medicina.

[3]  A. Keeling,et al.  Interventional Radiology in the Diagnosis, Management, and Follow-Up of Pseudoaneurysms , 2009, CardioVascular and Interventional Radiology.

[4]  D. Rubens,et al.  Pseudoaneurysms and the role of minimally invasive techniques in their management. , 2005, Radiographics : a review publication of the Radiological Society of North America, Inc.

[5]  Richard S. Lee,et al.  Traumatic renal artery pseudoaneurysm: diagnosis and management techniques. , 2003, The Journal of trauma.

[6]  I. Oran,et al.  Embolization of visceral pseudoaneurysms with platinum coils and N-butyl cyanoacrylate , 2003, Abdominal Imaging.

[7]  T. Dubinsky,et al.  CT of a renal artery pseudoaneurysm caused by a stab wound. , 2002, AJR. American journal of roentgenology.

[8]  Y. Mizobata,et al.  Successful evaluation of pseudoaneurysm formation after blunt renal injury with dual-phase contrast-enhanced helical CT. , 2001, AJR. American journal of roentgenology.

[9]  R. Uflacker,et al.  Management of traumatic hematuria by selective renal artery embolization. , 1984, The Journal of urology.