Objectives: To evaluate accuracy of computed tomography angiography (CTA) in evaluation of post traumatic
renal vascular injury.
Patients and methods: 38 patients were presented with post traumatic intermittent or persistent hematuria. Renal
CTA and digital subtraction angiography (DSA) were done for all patients.
Results: CTA demonstrated pseudoaneurysm (PA) in 30 patients (78.9%) and no vascular lesions in 8 patient
(21.1%). CTA had 86.11% sensitivity and 50% specificity in detection of post traumatic renal pseudoaneurysms,
CTA missed diagnosis of renal arteriovenous fistula (RAVF) in 10 patients which discovered later by DSA.
Conclusion: CTA with MIP as non invasive technique widely replaced renal DSA in detection of posttraumatic
renal pseudoaneurysm. Renal DSA is still best modality in detection of RAVF and also has the upper hand in
planning of selective renal artery embolization for the management of persistent or delayed hemorrhage from
renal vessels |
