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J Korean Soc Traumatol. 2006 Dec;19(2):192-195. Korean. Case Report.
Lee CU , Kwon OJ , Bang SH , Choi NY , Lee CS , Ahn SH .
Department of Urology, Hanil General Hospital, Seoul, Korea.

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.

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