535MN

A 14 years young patient went to a Hospital as a case of accidental penetrating injury by a pair of scissors. After stitching and dressing the local wound, the patient was discharged. The patient had multiple admissions to the same hospital with hematuria and severe anemia for which patient was managed conservatively by blood transfusion and IV medications.

Later the patient came to us, the investigation revealed a 14x10 mm Pseudo Aneurysm along with complex grade 3 laceration at upper pole of right Kidney. Initially Nephrectomy was planned.

Later the patient came to us, the investigation revealed a 14x10 mm Pseudo Aneurysm along with complex grade 3 laceration at upper pole of right Kidney. Initially Nephrectomy was planned. However later on Selective coiling of the feeding artery was done and on follow up the hematuria stopped and patient recovered without undergoing Nephrectomy.For coil embolization-  6F JR 3.5 catheter was used. Microferret infusion catheter(Cook medical)  was used to Selectively cannulate the feeding renal artery. Coil embolization was done using 0.018” Hilal Embolization Microcoils (2mmx2 cm) from Cook medical using Cirrus-14 microwire .
NAVNEET 535-mov-patient-MAST NAVEET 14YRS.wmv

Thorough investigations should be done in order to figure out the right treatment option. Secondly coiling is a good option in these type of cases in order to save the patient from undergoing nephrectomy.