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Hemorrhagic complications in a pelvic kidney: the role of interventional radiology: A case report

Year: 2025

Type: article

Abstract: Pelvic kidney is a rare congenital anomaly characterized by aberrant location and complex vascular anatomy, predisposing it to complications such as trauma and hemorrhage. A 57-year-old man with a known right-sided pelvic kidney presented with acute macroscopic hematuria. Computed tomography revealed a large pericapsular hematoma with aberrant arterial supply and suspected active extravasation. A multidisciplinary approach was adopted, beginning with endovascular embolization as a preoperative measure to control bleeding, followed by transabdominal nephrectomy as definitive treatment. The combined approach ensured effective hemorrhage control and minimized surgical risk. This case highlights the importance of preoperative embolization as a safe and valuable adjunct in the management of hemorrhage in anatomically complex renal anomalies such as pelvic kidneys and underscores the role of multidisciplinary collaboration in achieving optimal outcomes.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2025.10.055

Authors: Matteo Haupt, Thomas Jansen, Ole Jeske, Martin H. Maurer, Rohit Philip Thomas

Institution: Carl von Ossietzky Universität Oldenburg

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600