Acute traumatic renal arteriocalyceal fistula: selective angioembolisation for haemodynamic instability

Adam Carl Philipoff, Duncan Ramsay, Dieter G Weber

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Abdominal angiography with selective arteriography and subsequent embolisation is an accepted management modality in the treatment of selected solid organ injuries following blunt abdominal trauma. This management practice is well established in the haemodynamically stable patient; however, this remains more controversial in haemodynamically compromised patients, though warrants consideration in both cases due to the associated benefits of non-operative management. This case report describes the successful non-operative management of a severe renal injury in a young polytraumatised patient following a high-speed motor vehicle crash. In addition, the rare CT diagnosis and management of an acute traumatic arteriocalcyeal fistula is discussed with a focus on the importance of renal parenchymal preservation.

Original languageEnglish
Article numbere216795
JournalBMJ Case Reports
Volume2017
DOIs
Publication statusPublished - 2017
Externally publishedYes

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