Akbari Ardalan, Heran Manraj K S, Afshar Kourosh
University of British Columbia, Vancouver, BC, Canada.
Department of Radiology.
Can Urol Assoc J. 2016 Sep-Oct;10(9-10):E312-E315. doi: 10.5489/cuaj.3196. Epub 2016 Sep 13.
This case report explores the efficacy of simultaneous use of endourological and radiological methods to assess and manage high-grade renal trauma. A male rugby player was diagnosed with Grade 4 blunt renal trauma. A segment of the patient's kidney was isolated from the main renal pelvis with intact perfusion. This resulted in urinary extravasation. Ureteral stenting and angioembolization were used to treat the patient's severe symptoms. Angioembolization ablated functional tissue that was causing a persistent urinary leak. Following the treatment, the patient was discharged with no significant bleeding or leakage from the kidney. This report illustrates an uncommon use of this combined approach. Followup 18 months post-trauma revealed normal blood pressure and approximately 30% loss of volume of the affected kidney.
本病例报告探讨了同时使用腔内泌尿外科和放射学方法评估和处理高级别肾外伤的疗效。一名男性橄榄球运动员被诊断为4级钝性肾外伤。患者肾脏的一部分与主要肾盂分离，但灌注完好。这导致了尿外渗。采用输尿管支架置入术和血管栓塞术治疗患者的严重症状。血管栓塞术切除了导致持续性尿漏的功能性组织。治疗后，患者出院，肾脏无明显出血或渗漏。本报告说明了这种联合方法的一种不常见应用。外伤后18个月的随访显示血压正常，患侧肾脏体积减少约30%。
