Management of acute post-operative hemorrhage following partial nephrectomy with renal artery embolization

被引：1

作者：

Gabrielson, Andrew T.

Faisal, Farzana A.

Pierorazio, Phillip M.

机构：

[1] Johns Hopkins Univ, James Buchanan Brady Urol Inst, Sch Med, Baltimore, MD USA

[2] Johns Hopkins Univ, Sch Med, Dept Urol, Baltimore, MD 21205 USA

来源：

UROLOGY CASE REPORTS | 2020年 / 32卷

关键词：

Renal mass; Variant anatomy; Renal artery embolization;

D O I：

10.1016/j.eucr.2020.101252

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：3