Secondary Hematuria from Traumatic Renal Artery Pseudo Aneurysm with Arteriovenous Fistula Treated by Successful Stenting

Abstract

Renal artery pseudoaneurysm with renal arteriovenous (AV) fistula is an uncommon complication after blunt trauma injury.It can present with life threatening secondary hematuria. We report on a case of 19 year old young man admitted to our hospital following blunt abdominal trauma. He presented with right flank pain, frank hematuria and was hemodynamically stable. After evaluation it was diagnosed as grade IV renal injury and treated conservatively. Thirty days after trauma, he developed secondary hematuria caused by renal artery pseudoaneurysm with AV fistula which was treated successfully by endovascular stenting.