Wohlauer Max V, Moore Ernest E, Haenel James B, Burlew Clay C, Barnett Carlton C
Denver Health Medical Center and University of Colorado Denver, Denver, Colorado.
J Surg Radiol. 2011 Apr 1;2(2):178-180.
The horseshoe kidney is more prone to blunt abdominal trauma because of its low position and the presence of the isthmus across the midline. This is a rare case of complete transection of a horseshoe kidney at the isthmus due to blunt abdominal trauma with two sites of active extravasation on initial CT imaging. This extravasation was successfully treated by embolization with coils. Superselective embolization may be used for effective, minimally invasive control of active extravasation due to blunt renal trauma, even in kidneys with congenital malformations such as the horseshoe kidney.
马蹄肾因其位置较低且有峡部横跨中线,所以更易遭受钝性腹部创伤。这是一例罕见的因钝性腹部创伤导致马蹄肾峡部完全横断的病例,初始CT影像显示有两个活动性外渗部位。通过使用弹簧圈栓塞成功治疗了这种外渗。即使是对于存在先天性畸形如马蹄肾的肾脏,超选择性栓塞也可用于有效、微创地控制钝性肾创伤导致的活动性外渗。