Complete Traumatic Transection of the Renal Vein with Renal Venous Hemostasis via Arterial Embolization before Nephrectomy: A Case Report

Abstract

A 44-year-old man fell off a cliff and was taken to a community hospital. He was a non-responder and was transferred to our tertiary care hospital. Contrast-enhanced computed tomography images revealed a right renal vein injury and a massive retroperitoneal hemorrhage. Angiography of the right renal artery showed extravasation during the venous phase; therefore, the artery was immediately embolized with N-butyl cyanoacrylate and coils. Subsequently, nephrectomy was performed. Arterial embolization of the renal artery for a renal vein injury in a patient with hemodynamic instability may be effective as a damage-control interventional radiology bridge to emergency nephrectomy.