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Segmental artery occlusion for sequential renal injuries. A case report.

I B Angorn, J M Kalideen, H E Engelbrecht

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |December 10, 1983
    PubMed
    Summary

    This case study highlights a patient who avoided a kidney removal (nephrectomy) after two severe bleeding incidents from stab wounds. Successful treatment using segmental artery occlusion was achieved, a previously unreported outcome for such kidney trauma.

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    Area of Science:

    • Nephrology
    • Trauma Surgery
    • Vascular Interventions

    Background:

    • Recurrent, life-threatening hemorrhage following renal trauma presents significant clinical challenges.
    • Exsanguinating bleeding from kidney injuries often necessitates nephrectomy to control hemorrhage.

    Purpose of the Study:

    • To report a unique case of successful management of recurrent, severe renal hemorrhage.
    • To demonstrate the efficacy of segmental artery occlusion in avoiding nephrectomy for bilateral renal trauma.

    Main Methods:

    • The patient sustained stab wounds to the same kidney in 1974 and 1980, resulting in severe hemorrhage.
    • Treatment involved segmental artery occlusion to control bleeding in both instances.
    • Nephrectomy was considered but successfully avoided through interventional radiology.

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    Main Results:

    • Segmental artery occlusion was effective in controlling life-threatening hemorrhage on two separate occasions.
    • The patient's kidney was preserved, avoiding the need for nephrectomy.
    • This represents a novel outcome in managing recurrent renal trauma.

    Conclusions:

    • Segmental artery occlusion can be a viable alternative to nephrectomy in managing severe, recurrent renal hemorrhage.
    • Preservation of renal function is achievable even after multiple traumatic bleeding events.
    • This case underscores the importance of interventional techniques in trauma management.