Pezeshki Rad Masoud, Ahmadnia Hassan, Abedi Mahboobeh, Abedi Mohammad-Sadegh
Department of Radiology, Vascular and Endovascular Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 9137913316, Iran.
Chin J Traumatol. 2012;15(2):118-20.
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.
马蹄肾是泌尿系统一种罕见的异常情况，在穿透性和钝性腹部创伤期间受伤风险增加。腹部自伤刺伤是一种罕见的腹部损伤类型，在自杀未遂中仅占很小比例，创伤中心的医生可能很少遇到。精神疾病以及酗酒或药物滥用是自伤刺伤病例的常见危险因素。在此，我们报告一例罕见的马蹄肾自伤刺伤病例。该病例为一名19岁男性，有腹部自伤刺伤史，因剖腹探查及受伤腹部器官手术修复三天后再次出现肉眼血尿而转诊至我院放射科。在患者的腹部计算机断层扫描中偶然发现马蹄肾。肾血管造影显示节段动脉之一有造影剂外渗。成功进行了用线圈的选择性经动脉栓塞以控制血尿。
