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Management of acute post-operative hemorrhage following partial nephrectomy with renal artery embolization
- Source :
- Urology Case Reports, Urology Case Reports, Vol 32, Iss, Pp 101252-(2020)
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Hemorrhage after robotic-assisted partial nephrectomy (RAPN) is uncommon but can cause significant morbidity. We present a case of acute hemorrhage isolated to the collecting system that was managed with renal artery embolization (RAE). A 76-year-old male developed sudden onset transfusion-dependent hematuria and hypotension following uncomplicated RAPN. He had no signs of intra-abdominal bleeding and his hypotension was responsive to volume resuscitation. Renal angiography identified a segmental artery with extravasation into the collecting system. RAE eliminated the patient's hematuria, the need for further transfusion, and allowed preservation of renal function. RAE is a viable option for collecting system hemorrhage following RAPN.
- Subjects :
- medicine.medical_specialty
Resuscitation
Urology
medicine.medical_treatment
030232 urology & nephrology
Renal function
lcsh:RC870-923
urologic and male genital diseases
03 medical and health sciences
0302 clinical medicine
Renal angiography
Variant anatomy
Renal artery embolization
medicine
Post operative
business.industry
lcsh:Diseases of the genitourinary system. Urology
Extravasation
Nephrectomy
Surgery
Oncology
030220 oncology & carcinogenesis
Renal mass
business
Sudden onset
Subjects
Details
- ISSN :
- 22144420
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Urology Case Reports
- Accession number :
- edsair.doi.dedup.....0d1c613aa5f225b87455551e7647cb4b