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Acute traumatic renal arteriocalyceal fistula: selective angioembolisation for haemodynamic instability
  1. Adam Carl Philipoff1,
  2. Duncan Ramsay2,
  3. Dieter G Weber1
  1. 1Department of Trauma & General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Department of Radiology, Royal Perth Hospital, Perth, Western Australia, Australia
  1. Correspondence to Dr Adam Carl Philipoff, adamphilipoff{at}


Abdominal angiography with selective arteriography and subsequent embolisation is an accepted management modality in the treatment of selected solid organ injuries following blunt abdominal trauma. This management practice is well established in the haemodynamically stable patient; however, this remains more controversial in haemodynamically compromised patients, though warrants consideration in both cases due to the associated benefits of non-operative management. This case report describes the successful non-operative management of a severe renal injury in a young polytraumatised patient following a high-speed motor vehicle crash. In addition, the rare CT diagnosis and management of an acute traumatic arteriocalcyeal fistula is discussed with a focus on the importance of renal parenchymal preservation.

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  • Contributors All three authors contributed equally to the planning, writing and editing of this case report. DW is the guarantor of this case report. ACP submitted this case report to BMJ Case Reports online.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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