Presentation
Pregnant lady had direct left loin region blunt trauma.
Patient Data
Ultrasound of the left kidney reveals a cystic space in the left renal hilum with a high-flow jet inside, renal parenchymal edema, and the absence of hydrocalyx, features consistent with pseudoaneurysm formation.
An emergency CT was performed on the same day as the patient's condition worsened, and it revealed a large perinephric hematoma with contrast leakage from the terminal portion of the main left renal artery that filled the area of the renal hilum and extended to the perinephric space. The left kidney is enlarged with patchy parenchymal enhancement (abnormal perfusion).
The right kidney is small, containing two cysts inside.
Bilateral mild amounts of pleural effusion and upper abdominal free fluid were noticed.
Pre and post-stenting images demonstrate contrast extravasation and successful stenting, with resuming of the flow of the left kidney.
Case Discussion
Isolated blunt renal artery trauma is rare. The vast majority of them are managed with observation, with only a small number undergoing endovascular intervention 1.
Unable to process the form. Check for errors and try again.