Delayed Severe Bleeding Following Partial Nephrectomy Managed with Selective Embolization: Case Report

Partial nephrectomy (PN), has been established as the standard surgical treatment for renal tumors in clinical stage T1a and in select cases of T1b and T2. The complications of PN include postoperative hemorrhage which can have potentially serious consequences. A 60 year old adult male underwent left partial nephrectomy for T2b renal tumor. He presented himself to the emergency services of the hospital with massive hematuria. Selective renal angiography revealed two pseudo aneurysms on the affected side. Selective embolization of the lesions was done. Selective vascular embolization is the treatment of choice for patients with symptoms of severe bleed in a hemodynamically stable patient.

Author(s): Shankar K

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