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

• Autorzy: Artur Antoniewicz , Izabela Wojtkowska , Mirosław Dziekiewicz , Cezary Kępka , Elżbieta Kremis , Łukasz Zapała , Ryszard Skiba , Janina Stępińska
• Języki publikacji: EN

Abstrakty

EN

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.

Słowa kluczowe

EN

Polymer-glue; Percutaneous embolization; A life-threatening kidney hemorrhage

• Czasopismo: Open Medicine
• Rocznik: 2013
• Tom: 8
• Numer: 3
• Strony: 339-342

Daty

wydano

2013-06-01

online

2013-04-17

Twórcy

autor

Artur Antoniewicz

• Department of Urology, Multidisciplinary Hospital Warsaw-Miedzylesie, 2 Bursztynowa St., 04-749, Warsaw, Poland

autor

Izabela Wojtkowska

• Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland

autor

Mirosław Dziekiewicz

• Department of General, Vascular and Oncological Surgery, Military Institute of Medicin, 128 Szaserów St., 04-141, Warsaw, Poland

autor

Cezary Kępka

• Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland

autor

Elżbieta Kremis

• Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland

autor

Łukasz Zapała

• Department of Urology, Multidisciplinary Hospital Warsaw-Miedzylesie, 2 Bursztynowa St., 04-749, Warsaw, Poland,

autor

Ryszard Skiba

• Department of Urology, Multidisciplinary Hospital Warsaw-Miedzylesie, 2 Bursztynowa St., 04-749, Warsaw, Poland

autor

Janina Stępińska

• Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland

Bibliografia

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Identyfikatory

DOI

10.2478/s11536-012-0085-x