Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2023; 11(32): 7852-7857
Published online Nov 16, 2023. doi: 10.12998/wjcc.v11.i32.7852
Transcatheter embolization for hemorrhage from aberrant testicular artery after partial nephrectomy: A case report
Juyoun Youm, Min-Jeong Choi, Bong Man Kim, Yumi Seo
Juyoun Youm, Min-Jeong Choi, Bong Man Kim, Department of Radiology, Dankook University Hospital, Cheonan 31116, South Korea
Yumi Seo, Department of Urology, Dankook University Hospital, Cheonan 31116, South Korea
Co-first authors: Juyoun Youm and Min-Jeong Choi.
Author contributions: Youm J and Choi MJ contributed equally to this work; Youm J, Choi MJ, and Seo Y contributed to manuscript writing and editing, and data collection; Choi MJ contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors have no conflicts of interest to declare.
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: Min-Jeong Choi, MD, PhD, Associate Professor, Department of Radiology, Dankook University Hospital, 201 Manghyangro, Dongnam-gu, Cheonan 31116, South Korea. babiyong@hanmail.net
Received: July 8, 2023
Peer-review started: July 8, 2023
First decision: August 24, 2023
Revised: September 6, 2023
Accepted: November 2, 2023
Article in press: November 2, 2023
Published online: November 16, 2023
Processing time: 130 Days and 19.5 Hours
Core Tip

Core Tip: Arterial hemorrhage, one of the complications associated with post partial nephrectomy, primarily arises from an injury to the distal end of the renal artery located at the kidney’s resection margin. Herein, we present a rare case of hemorrhage following partial nephrectomy that originated from a perinephric branch of the testicular artery, arising from the segmental artery of the renal artery. Despite the absence of active bleeding on computed tomography scan, preemptive angiographic evaluation based on a strong clinical suspicion of hemorrhage was performed. This afforded precise bleeding site identification, followed by successful transcatheter arterial embolization. It is noteworthy that arterial hemorrhage after partial nephrectomy can originate not only from the renal artery but also from the perinephric branches of nonrenal arteries, including the testicular artery.