Ces Urol 2025, 29(1):34-37 | DOI: 10.48095/cccu2025002

Vasographic obliteration of a bleeding back muscle artery after bilateral nephrectomy of polycystic kidneys

Václav Krejčí¹, Miloš Broďák¹, Antonín Krajina^1,2, Jaroslav Pacovský¹

¹ Urologická klinika LF UK a FN Hradec Králové

² Radiodia­gnostická klinika LF UK a FN Hradec Králové

It is often necessary to remove polycystic kidneys after successful kidney transplantation. The reason for this procedure is that their significant volume can oppress surrounding organs, including the transplanted kidney, which can lead to its dysfunction. Native nephrectomy is often performed bilaterally at the same time. It is advisable to know the risk factors associated with this operation. One of them is the reduced strength of the vascular wall ligaments, which can lead to a higher risk of bleeding both intraoperatively and postoperatively. We present the successful treatment of severe bleeding in the early postoperative period by an interventional radiologist who obliterated a bleeding peripheral muscular artery.

Keywords: polycystic kidneys, bleeding into polycystic kidneys, embolization of a bleeding artery

Received: June 28, 2024; Revised: November 20, 2024; Accepted: December 12, 2024; Prepublished online: December 12, 2024; Published: March 25, 2025