PMC7397383_01
CT angiography in axial view, showing an active contrast extravasation from accessory right renal artery and retroperitoneal hematoma (a, b) (black arrow).
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There was active extravasation of contrast agent from the accessory right renal artery feeding into the lower pole of the right wing of the horseshoe kidney. This finding suggested that his transient responsiveness and grade 2 hemorrhagic shock were due to active retroperitoneal bleeding (Figures 1 and 2).
CT angiography in coronal view, showing an active contrast extravasation from accessory right renal artery and retroperitoneal hematoma (a, b) (black arrow).
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There was active extravasation of contrast agent from the accessory right renal artery feeding into the lower pole of the right wing of the horseshoe kidney. This finding suggested that his transient responsiveness and grade 2 hemorrhagic shock were due to active retroperitoneal bleeding (Figures 1 and 2).
Angiogram before embolization. None of the eight patients was reported to suffer renal impairment. PR: pulse rate; BP: blood pressure; AAST: American Association for the Surgery of Trauma; PCD: percutaneous drainage.
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Bleeding from the accessory right renal artery was managed successfully via endovascular coil embolization (Figure 3).