Retroperitoneal Hematoma and Renal Cortical Injury: A Rare Complication of Cerebral Angiography: A Case Report.
- Author:
Je Sung YOU
1
;
Young Soon CHO
;
Young Hwan CHOI
;
Hahn Shick LEE
Author Information
1. Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea. emer0717@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Hematoma;
Complications;
Cerebral angiography
- MeSH:
Aged;
Aneurysm, False;
Angiography;
Arteries;
Cerebral Angiography*;
Diagnosis;
Emergencies;
Hematoma*;
Hospitals, General;
Humans;
Hypotension;
Kidney;
Male;
Middle Aged;
Stem Cells
- From:Journal of the Korean Society of Emergency Medicine
2005;16(6):677-680
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cerebral angiography is an invasive technique and can induce various complications, such as neurologic complications. We describe two cases of retroperitoneal hematoma and renal injury, a rare complication of cerebral angiography. A 65-year-old male and 56-year-old male underwant cerebral angiography for stem cell implantation at a general hospital. The diagnoses of retroperitoneal hematoma and renal injury were delayed. On abdominal-pelvic CT, renal injury was demonstrated with a pseudoaneurysm and a retroperitoneal hematoma in the perirenal space. Interventional angiography was performed. Renal angiography showed that the contrast was extravasated with a pseudoaneurysm in the lower pole of right kidney. The feeding artery of the pseudoaneurysm was successfully embolized. Emergency physicians must consider a retroperitoneal hematoma and renal cortical injury after angiography, especially when patients present with hypotension and abdominal distention.
