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All Journal Indonesian Journal of Cancer The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Krishna Pandu Wicaksono
Division Of Interventional Radiology, Department Of Radiology, Faculty Of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Public Health

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The Role of Endovascular Intervention in Post Liver Hemorrhagic Blunt Trauma Rahmad Mulyadi; Prijo Sidipratomo; Indrati Suroyo; Jakub Pandelaki; Sahat Matondang; Krishna Pandu Wicaksono; Heltara Ramandika
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 21, No 1 (2020): VOLUME 21, NUMBER 1, April 2020
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.106 KB) | DOI: 10.24871/211202059-63

Abstract

The liver is the most commonly injured organ in blunt abdominal trauma, and liver trauma is the leading cause of death in abdominal injuries. Liver trauma is associated with high morbidity and mortality, hence thediagnosis and clinical assessment of hepatic trauma play an important role in the management of abdominal liver trauma. Although it is only suitable for patients with stable hemodynamic status, computed tomography(CT scan) is the gold standard for evaluating patients with blunt abdominal trauma, because it can acquire high quality images quickly. For these stable patients, nonsurgical management or endovascular intervention has become the treatment of choice in the majority of liver injuries.
Transarterial Embolization as a First-Line Treatment for Ruptured Renal Angiomyolipoma: A Case Report Wicaksono, Krishna Pandu
Indonesian Journal of Cancer Vol 20, No 1 (2026): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v20i1.1534

Abstract

Introduction: Angiomyolipoma (AML) is a benign renal tumor that can be accompanied by potentially life-threatening spontaneous retroperitoneal hemorrhage when it becomes large. Prompt management is crucial. Treatment options for ruptured renal AML include surgical intervention and embolization, with transarterial embolization (TAE) increasingly recognized for its renal-sparing advantage and reduced invasiveness. We describe a case effectively managed with emergency TAE, highlighting its safety and efficacy.Case Presentation: A 57-year-old male was admitted for evaluation of hematuria, right flank pain, abdominal distension, and dyspnea. His condition was complicated by severe anemia and declining renal function, with eGFR of 28.1 mL/min/1.73 m². CT-scan angiography demonstrated a large retroperitoneal hematoma and a pseudoaneurysm, 3.5 × 4.0 × 6.0 cm, at the upper pole of the right kidney, arising from an interlobar artery. Multiple bilateral angiomyolipomas were also shown. An emergency transarterial embolization was performed using polyvinyl alcohol (PVA) particles to devascularize hypervascular lesions and detachable coils to occlude the pseudoaneurysm. Further embolization was also performed in the mid-segment, resulting in the complete resolution of lesions while maintaining the functional renal parenchyma. Clinical improvement was evident during a two-day follow-up, as indicated by an increase in hemoglobin levels, resolution of hematuria, and relief of abdominal symptoms.Conclusion: This case supports the role of TAE as an effective and organ-preserving treatment for ruptured renal AML.
Co-Authors Heltara Ramandika Indrati Suroyo Jakub Pandelaki Prijo Sidipratomo Rahmad Mulyadi Sahat Matondang