Artery to Collecting System Communication after Abdominal Trauma.
- Author:
Chang Ug LEE
1
;
O Jung KWON
;
Sung Hak BANG
;
Nak Young CHOI
;
Chang Sub LEE
;
Seung Hyun AHN
Author Information
1. Department of Urology, Hanil General Hospital, Seoul, Korea. hiro1972@hanmail.net
- Publication Type:Case Report
- Keywords:
Artery and collecting system;
Renal injury;
Computed tomography
- MeSH:
Arteries*;
Diagnosis;
Kidney;
Pelvis;
Stents;
Ureter;
Vascular Diseases
- From:Journal of the Korean Society of Traumatology
2006;19(2):192-195
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Degenerative vascular disease, previous arterial surgery, long-term ureteral stenting, pelvis surgery, and radiotheraphy are reported as causes of artery-to-collecting-system communication.. Artery-to-collecting-system- communication associated with blunt trauma is rare, but potentially fatal. The diagnosis is very difficult and requires a high degree of suspicion. We were able to make the diagnosis based on the characteristic finding of contrast-enhanced computed tomography (CT) obtained in the early phase, equivalent to the finding obtained in the corticomedullary phase of the kidney. We report a case of artery to collecting system communication due to blunt abdominal trauma following a fall, which was treated by embolization.