Pseudoaneurysm in Renal Blunt Trauma Case Series Analysis
Arifah Zanuar Kumalasari, Agus Sudaryanto
Abstract
Introduction: Renal trauma occurs about 1-5% of all trauma events and about 10% of patients experience abdominal tarauma. Pseudoaneurysm is a vascular complication that rarely occurs after blunt trauma. The purpose of this paper is to analyze pseudoaneurysm cases after blunt kidney trauma. Method: The design used in the study literature uses a literature review design. The analysis used by the writer is a narrative review analysis. Search for articles using PubMed and Google Scholar according to the chosen theme then do a review. Results: Of the 5 articles that experienced pseudoaneurysm after blunt kidney injury suffered the most in men. Four cases were caused due to falls. Signs and symptoms of five cases are decreased blood hemoglobin levels and gross hematuria. Four cases had blunt kidney trauma on the right side and the CT scan showed 3 cases in grade III. Discussion: Among adults who are often found are men at productive age. A person's age is a risk factor for pseudoaneurysm after blunt kidney injury. Hematocrit examination accompanied by examination of blood hemoglobin plays a role in identifying signs of active bleeding that are suspected of having decreased hemoglobin levels. Conclusion: Analysis of the five articles found a sign of gross hematuria and a decrease in blood hemoglobin levels and a medical treatment that is often used is embolization.
Keywords: Pseudoaneurysm, Kidney, Blunt Trauma, Embolization, Analysis.
Downloads
References
Khoschnau, S., & Al-hassani, A. (2019). Urologia Traumatic Kidney Injury : An Observational Descriptive Study. Urologia Internationalis, 104(1-2), 147-154.
https://doi.org/10.1159/000504895
Badan Penelitian dan Pengembangan Kesehatan. (2013). Riset Kesehatan Dasar 2013. Pedoman Pengisian Kuesioner. Jakarta, p. 31-95.
Indradiputra, I. M., & Hartono, T. (2016). Tatalaksana Konservatif Pasien Dewasa dengan Trauma Tumpul Ginjal Derajat IV Terisolasi. Cermin Dunia Kedokteran, 43(2), 123-126.
Dangle, A. P., Fuller, T. W., Gaines, B., Cannon, G. M., Schneck, F. X., Stephany, H. A., et al. (2016). Evolving Mechanisms of Injury and Management of Pediatric Blunt Renal Trauma – 20 Years of Experience. Urology, 90, 159-163.
https://doi.org/10.1016/j.urology.2016.01.017
Erlich T, Kitrey ND. (2018). Renal trauma: the current best practice. Therapeutic advances in urology. 10 (10): 295-303.
https://doi.org/10.1177/1756287218785828
Wessells, Hunter. (2013). Urological Emergencies: A Practical Approach. New York: Human Press.
Roman, Luiz Inacio, et al. (2017). Renal Artery Pseudoaneurysm. Brazilian Journal of Nephrology, 39(4), 458-461.
https://doi.org/10.5935/0101-2800.20170080
Gstrein, L., Antwerpen, I., Martin, H., Kwiatkowski, M., Wyler, S., & Walter, M. (2019). Urology Case Reports Renal pseudoaneuryms and pulmonary embolism : A unique manifestation of complications following blunt renal trauma. Urology Case Reports, 24, 100835.
https://doi.org/10.1016/j.eucr.2019.01.016
Sforza, S., Persano, G., Cini, C., Sforzi, I., Grosso, A. A., Bronzini, F., … Masieri, L. (2020). Renal Pseudoaneurysm After Blunt Trauma In A 10-Years-Old Girl: A Case Report. Urologi Journal, 0391560319896155, 1-3.
https://doi.org/10.1177/0391560319896155
Benamran, D., Clippele, B. De, Hammer, F., & Tombal, B. (2017). Intraparenchymal Renal Artery Pseudoaneurysm and Arteriovenous Fistula on A Solitary Kidney Occurring 38 Years after Blunt Trauma. Case reports in urology, 2017, 3017501.
https://doi.org/10.1155/2017/3017501
Oliveira, J. A., Costa, N. V., Bilhim, T., Gomes, F. V., & Coimbra, E. (2018). Endovascular Treatment of Splanchnic Pseudoaneurysms Following Blunt Solid Organ Injuries in Children. Acta Radiologica Portuguesa, 30(1), 15-22.
https://doi.org/10.25748/arp.13548
Agarwal, V., & Gorsi, U. (2017). Endovascular Angioembolization of Intrarenal Pseudoaneurysm in Ectopic Kidney after Blunt Abdominal Trauma. Indian Journal of Vascular and Endovascular Surgery, 4(4), 201-203.
https://doi.org/10.4103/ijves_25_17
Froehner, M., Schaab, F., Hofmockel, T., Hoffmann, R., Fahlenkamp, D., & Wirth, M. P. (2017). Delayed Radiographic Manifestation of Renal Pseudoaneurysm After Blunt Trauma. Urology, 103, e9-e10.
https://doi.org/10.1016/j.urology.2017.02.013
Guyot, R., Arnoux, V., Descotes, J., Terrier, N., Boillot, B., Thuillier, C., … Fiard, G. (2017). Management of Intraparenchymal Pseudoaneurysm after Blunt Renal Trauma: Results from a Series of 325 Patients. Progresen Urologie: Journal de L’association Francaise D’urologie et de la Sociate Francaise D’urologie, 27(3), 190-199.
https://doi.org/10.1016/j.purol.2016.12.012
Amend, B., Stenzl, A., & Bedke, J. (2016). Contemporary Management of Acute Kidney Trauma. Journal of Acute Disease, 5(1), 29-36.
3.png){kind=logo}
