Transarterial coil embolization in treatment of gross hematuria following self-inflicted stab wound in a horseshoe kidney.
- Author:
Masoud Pezeshki RAD
1
;
Hassan AHMADNIA
;
Mahboobeh ABEDI
;
Mohammad-Sadegh ABEDI
Author Information
1. Department of Radiology, Vascular and Endovascular Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 9137913316, Iran.
- Publication Type:Case Reports
- MeSH:
Abdominal Injuries;
Embolization, Therapeutic;
Fused Kidney;
Hematuria;
Humans;
Kidney;
injuries;
Wounds, Stab
- From:
Chinese Journal of Traumatology
2012;15(2):118-120
- CountryChina
- Language:English
-
Abstract:
Horseshoe kidney is an uncommon anomaly of the urinary system with an increased risk of injury during penetrating and blunt abdominal traumas. Self-inflicted abdominal stab wound, a rare type of abdominal injury, accounts for only a small percentage of suicidal attempts and may be infrequently encountered by physicians in trauma centers. Psychiatric disorders and alcohol or drug abuse are common risk factors in cases of self-stabbing. Here we report a rare case of self-stabbing of a horseshoe kidney. The case was a 19-year-old man with self-inflicted abdominal stab wound who was referred to our department of radiology due to re-occurred gross hematuria three days after exploratory laparotomy and surgical repair of injured abdominal organs. A horseshoe kidney was incidentally found in the patient's abdominal computed tomography. Renal angiography revealed active contrast extravasation from one of the segmental arteries. Selective transarterial embolization with a coil was successfully performed to control the hematuria.
