Transarterial coil embolization in treatment of gross hematuria following self-inflicted stab wound

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Horseshoe kidney is an uncommon anomaly of the urinary system with an increased risk of injury during penetrating and blunt abdominal traumas.Selfinflicted abdominal stab wound,a rare type of abdominal injury,accounts for only a small percentage of suicidal attempts and may be infrequently encountered by physicians in trauma centers.Psychiatric disorders and alcohol or drug abuse are common risk factors in cases of self-stabbing.Here we report a rare case of self-stabbing of a horseshoe kidney.The case was a 19-year-old man with self-inflicted abdominal stab wound who was referred to our department of radiology due to re-occurred gross hematuria three days after exploratory laparotomy and surgical repair of injured abdominal organs.A horseshoe kidney was incidentally found in the patients abdominal computed tomography.Renal angiography revealed active contrast extravasation from one of the segmental arteries.Selective transarterial embolization with a coil was successfully performed to control the hematuria.
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