Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2022; 10(27): 9760-9767
Published online Sep 26, 2022. doi: 10.12998/wjcc.v10.i27.9760
Endovascular treatment of traumatic renal artery pseudoaneurysm with a Stanford type A intramural haematoma: A case report
Yook Kim, Jin Young Lee, Jin Suk Lee, Jin-Bong Ye, Se Heon Kim, Young Hoon Sul, Su Young Yoon, Jung Hee Choi, Hanlim Choi
Yook Kim, Department of Radiology, Chungbuk National University Hospital, Cheongju-si 28644, Chungcheongbuk-do, South Korea
Jin Young Lee, Jin Suk Lee, Jin-Bong Ye, Se Heon Kim, Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju-si 28644, Chungcheongbuk-do, South Korea
Young Hoon Sul, Department of Trauma Surgery, College of Medicine, Chungbuk National University, Cheongju-si 28644, Chungcheongbuk-do, South Korea
Su Young Yoon, Cardiovascular and Thoracic Surgery, Chungbuk National University Hospital, Cheongju-si 28644, Chungcheongbuk-do, South Korea
Jung Hee Choi, Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju-si 28644, Chungcheongbuk-do, South Korea
Hanlim Choi, Department of Surgery, Chungbuk National University Hospital, Cheongju-si 28644, Chungcheongbuk-do, South Korea
Author contributions: Lee JY and Kim Y contributed to manuscript drafting and reviewed the literature; Kim Y, Lee JS, Ye JB, Kim SH, Sul YH, Yoon SY, Choi JH, and Choi H collected clinical data and participated in treatment; all authors read and approved the final manuscript.
Informed consent statement: The institutional review board of Chungbuk National University Hospital approved a retrospective review of the medical records (2020-12-007) and waived the requirement to obtain informed consent from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin Young Lee, Doctor, Surgeon, Department of Trauma Surgery, Chungbuk National University Hospital, 776 1Sunhwan-ro, Seowon-gu, Cheongju-si 28644, Chungcheongbuk-do, South Korea. client80@hanmail.net
Received: May 4, 2022
Peer-review started: May 4, 2022
First decision: June 16, 2022
Revised: June 28, 2022
Accepted: August 21, 2022
Article in press: August 21, 2022
Published online: September 26, 2022
Processing time: 135 Days and 7.5 Hours
Core Tip

Core Tip: We report the case of an adult male who presented with left flank pain after experiencing blunt trauma from being injured by a fallen tree. Investigations revealed a pseudoaneurysm arising from the proximal renal artery and Stanford type A IMH. The patient received endovascular treatment, and the successful exclusion of the pseudoaneurysm was confirmed using final aortography. A postoperative computed tomography scan showed the complete disappearance of the intramural hematoma and pseudoaneurysm with no stent-related complications. Consequently, we propose that endovascular treatment such as stent-graft placement can be an effective and safe treatment for traumatic renal artery injury.