J Korean Soc Traumatol.  2006 Dec;19(2):192-195.

Artery to Collecting System Communication after Abdominal Trauma

• Lee CU
• Kwon OJ
• Bang SH
• Choi NY
• Lee CS
• Ahn SH

Abstract

Degenerative vascular disease, previous arterial surgery, long-term ureteral stenting, pelvis surgery, and radiotheraphy are reported as causes of artery-to-collecting-system communication.. Artery-to-collecting-system- communication associated with blunt trauma is rare, but potentially fatal. The diagnosis is very difficult and requires a high degree of suspicion. We were able to make the diagnosis based on the characteristic finding of contrast-enhanced computed tomography (CT) obtained in the early phase, equivalent to the finding obtained in the corticomedullary phase of the kidney. We report a case of artery to collecting system communication due to blunt abdominal trauma following a fall, which was treated by embolization.

Keyword

Artery and collecting system; Renal injury; Computed tomography

MeSH Terms

Arteries*
Diagnosis
Kidney
Pelvis
Stents
Ureter
Vascular Diseases