1.Transarterial coil embolization in treatment of gross hematuria following self-inflicted stab wound in a horseshoe kidney.
Masoud Pezeshki RAD ; Hassan AHMADNIA ; Mahboobeh ABEDI ; Mohammad-Sadegh ABEDI
Chinese Journal of Traumatology 2012;15(2):118-120
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.
Abdominal Injuries
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Embolization, Therapeutic
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Fused Kidney
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Hematuria
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Humans
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Kidney
;
injuries
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Wounds, Stab