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 language | English (US) |
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Article number | 101252 |
Journal | Urology Case Reports |
Volume | 32 |
DOIs | |
State | Published - Sep 2020 |
Keywords
- Renal artery embolization
- Renal mass
- Variant anatomy
ASJC Scopus subject areas
- Urology