Renal allograft laceration treated by superselective embolization.

Abstract

PURPOSE:

To report an illustrative case demonstrating the efficacy of endovascular treatment for traumatic blunt renal allograft injury.

CASE REPORT:

A 19-year-old man sustained an injury to his renal allograft after a traffic accident secondary to lap belt compression. Angiography revealed contrast extravasation from 2 disrupted upper pole renal artery branches, which were successfully embolized with microcoils. The creatinine level was transiently elevated to 4.1 mg/dL, but it improved to 2.9 mg/dL at discharge 13 days after admission. After 1 year, the serum creatinine level was 1.9 mg/dL.

CONCLUSION:

As in the native kidney, superselective embolization can also be used safely in the management of blunt injury to a renal allograft, avoiding surgery and preserving graft function.

• Authors: Ramiro Cabello, Debora Acosta, Miguel Echenagusia, Ana Navas, Gracia Rodriguez, Carlos Hernandez
• Journal: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (J Endovasc Ther) Vol. 13 Issue 2 Pg. 260-3 (Apr 2006) ISSN: 1526-6028 [Print] United States
• PMID: 16643083 (Publication Type: Case Reports, Journal Article)

Topics

• Accidents, Traffic
• Adult
• Angiography
• Embolization, Therapeutic (methods)
• Humans
• Kidney (diagnostic imaging, injuries)
• Kidney Transplantation
• Lacerations (diagnostic imaging, therapy)
• Male
• Wounds, Nonpenetrating (diagnostic imaging, therapy)