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Polymer-glue as a life and kidney function saver: a life-threatening hemorrhage in the ruptured upper pole artery of the kidney managed by percutaneous embolization — a case report and literature review

  • Case Report
  • Published:
Central European Journal of Medicine

Abstract

In this paper we report the case of a nearly fatal hemorrhage in the artery of the renal upper pole that occurred in a 84-year-old woman on anticoagulation treatment in connection with aortic valve replacement 4 days prior to the incident. The artery was injured during the evacuation of a hematoma of the right pleural cavity. While the patient was in the intensive care unit recovering from cardiac valve surgery, the consulting urologist was summoned in order to cope with massive hematuria and acute urine retention. Unfortunately, conservative urological management based on catherization via a three-way catheter and constant transurethral lavage with saline was unsuccessful. Angio-computed tomography revealed a ruptured branch of the renal upper pole artery. A highly selective embolization using histoacryl injection during percutaneous angioplasty was performed. There were no complications in the following days. The patient was subject to postoperative follow-up at 3, 6 and 9 months and renal scintigraphy was performed at 6 months revealing symmetrical function of both kidneys without any changes in the upper pole of the right kidney.

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Authors and Affiliations

  1. Department of Urology, Multidisciplinary Hospital Warsaw-Miedzylesie, 2 Bursztynowa St., 04-749, Warsaw, Poland

    Artur A. Antoniewicz, Łukasz Zapała & Ryszard Skiba

  2. Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland

    Izabela Wojtkowska, Cezary Kępka, Elżbieta Kremis & Janina Stępińska

  3. Department of General, Vascular and Oncological Surgery, Military Institute of Medicin, 128 Szaserów St., 04-141, Warsaw, Poland

    Mirosław Dziekiewicz

Authors
  1. Artur A. Antoniewicz
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  2. Izabela Wojtkowska
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  3. Mirosław Dziekiewicz
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  4. Cezary Kępka
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  5. Elżbieta Kremis
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  6. Łukasz Zapała
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  7. Ryszard Skiba
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  8. Janina Stępińska
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Corresponding author

Correspondence to Łukasz Zapała.

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Antoniewicz, A.A., Wojtkowska, I., Dziekiewicz, M. et al. Polymer-glue as a life and kidney function saver: a life-threatening hemorrhage in the ruptured upper pole artery of the kidney managed by percutaneous embolization — a case report and literature review. cent.eur.j.med 8, 339–342 (2013). https://doi.org/10.2478/s11536-012-0085-x

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  • DOI: https://doi.org/10.2478/s11536-012-0085-x

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