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

TL;DR

A rare case of a pelvic kidney with bleeding is managed using interventional radiology and surgery, showing the value of a combined approach.

Contribution

Demonstrates the effectiveness of preoperative embolization in managing hemorrhage from complex renal anomalies.

Findings

Endovascular embolization effectively controlled bleeding before surgery.

Multidisciplinary approach minimized surgical risk and improved outcomes.

Pelvic kidney's complex anatomy requires specialized interventions.

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.

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