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Updated: Jul 9, 2026

A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
A traumatic intra-renal pseudo-aneurysm in a child
B More1, H Chandran, A Pimpalwar
1Department of Paediatric Urology, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
A rare case of intra-renal pseudoaneurysm in a child following penetrating renal trauma is presented. This condition, diagnosed via Doppler ultrasound, was successfully treated with arterial embolisation.
Area of Science:
- Pediatric surgery
- Vascular radiology
- Trauma management
Background:
- Penetrating renal trauma in children is uncommon.
- Intra-renal pseudoaneurysms are a known complication of renal trauma, but have not been previously reported in pediatric cases.
- Gross hematuria is a potential sign of vascular injury in the kidney.
Observation:
- A 9-year-old girl presented with gross hematuria two weeks after undergoing renal exploration for a penetrating injury.
- Initial presentation suggested a possible vascular complication secondary to the trauma or surgical intervention.
Findings:
- Doppler ultrasound confirmed the presence of an intra-renal pseudoaneurysm.
- The pseudoaneurysm was successfully treated using selective arterial embolisation, a minimally invasive endovascular technique.
Implications:
- This case expands the known spectrum of complications following penetrating renal trauma in children.
- It highlights the importance of considering and diagnosing intra-renal pseudoaneurysms in pediatric patients with persistent hematuria after renal injury.
- Selective arterial embolisation is an effective treatment option for pediatric intra-renal pseudoaneurysms.
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