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Renal pseudoaneurysm after blunt trauma in a 10-year-old girl: A case report

Simone Sforza1,2, Giorgio Persano3, Chiara Cini2

  • 1Department of Oncologic, Minimally-Invasive Urology and Andrology, Careggi Hospital, University of Florence, Florence, Italy.

Urologia
|January 24, 2020
PubMed

Insights

A rare complication of pediatric blunt renal trauma, post-traumatic pseudoaneurysm can cause significant anemia. Angiographic embolization is an effective treatment for this condition.

Area of Science:

  • Pediatric surgery
  • Interventional radiology
  • Trauma management

Background:

  • Renal trauma is a significant cause of morbidity in children.
  • Conservative management is common, but complications can arise even in stable patients.
  • High-grade blunt renal trauma can lead to severe outcomes.

Observation:

  • A 10-year-old girl with grade IV blunt renal trauma presented with persistent hematuria and anemia.
  • A contrast-enhanced CT scan identified a post-traumatic pseudoaneurysm.
  • The patient was hemodynamically stable throughout the observation period.

Findings:

  • Post-traumatic pseudoaneurysm is a rare but serious complication of blunt renal trauma.
  • This condition can lead to severe blood loss and anemia.
  • Angiographic embolization proved to be a successful treatment modality.

Implications:

  • Physicians should maintain a high index of suspicion for pseudoaneurysms in pediatric renal trauma.
  • Prompt diagnosis and intervention, such as angioembolization, are crucial.
  • This case highlights the importance of advanced imaging and interventional techniques in managing complex pediatric trauma.
Abstract

Keywords:
Pediatric renal traumaembolizationmultidisciplinary team

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