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

Andrew T. Gabrielson, Farzana A. Faisal, Phillip M. Pierorazio

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Article number101252
JournalUrology Case Reports
Volume32
DOIs
StatePublished - Sep 2020

Keywords

  • Renal artery embolization
  • Renal mass
  • Variant anatomy

ASJC Scopus subject areas

  • Urology

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