Yoshimatsu Miho, Tokue Hiroyuki, Jingu Akiko, Komatsu Takakazu, Tsushima Yoshito
Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital, Maebashi, JPN.
Cureus. 2025 Feb 6;17(2):e78614. doi: 10.7759/cureus.78614. eCollection 2025 Feb.
Horseshoe kidney (HSK) is a common renal anomaly associated with an increased risk of traumatic injury due to its superficial location and frequent vascular anomalies. We report a case of a 23-year-old male patient with HSK and a rare vascular anomaly, a right renal artery originating from the left common iliac artery, who sustained a grade V renal injury following blunt trauma. Contrast-enhanced computed tomography (CT) revealed active arterial bleeding and a retroperitoneal hematoma. Emergency transcatheter arterial embolization (TAE) successfully controlled active bleeding. The patient recovered without complications. This case underscores the importance of pre-procedural vascular evaluation in HSKs, as well as the efficacy of TAE in managing severe renal injuries associated with complex vascular anatomy.
马蹄肾（HSK）是一种常见的肾脏异常，因其表浅位置和频繁的血管异常，外伤风险增加。我们报告一例23岁男性马蹄肾患者，伴有罕见的血管异常，即右肾动脉起源于左髂总动脉，该患者在钝性外伤后发生了V级肾损伤。增强计算机断层扫描（CT）显示有活动性动脉出血和腹膜后血肿。紧急经导管动脉栓塞术（TAE）成功控制了活动性出血。患者康复，无并发症。该病例强调了马蹄肾术前血管评估的重要性，以及TAE在处理与复杂血管解剖相关的严重肾损伤中的有效性。
