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All Journal e-CliniC JURNAL BIOMEDIK Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan Medical Scope Journal (MSJ) Jurnal Impresi Indonesia International Journal of Health and Pharmaceutical (IJHP) Jurnal Sehat Indonesia (JUSINDO)
Adrian Tangkilisan, Adrian
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Religion Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Journal : medical scope journal msj

 1 
Selective Embolization of Arteriovenous Malformation in Gross Hematuria Post-Renorrhaphy: A Case Report Tangkilisan, Adrian; Sukanto, Wega; Paat, Rigel; Iskandar, Edward
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.58642

Abstract

Abstract: Management approaches for renal trauma vary from conservative methods for contusions to surgical interventions for severe injuries. Postoperative renal artery embolization (RAE) is crucial to control bleeding and preserve renal parenchymal tissue integrity. We reported a patient presented with hematuria 30 minutes after sustaining a stab wound to the right waist, accompanied by severe pain, dizziness, and cold sweats. Physical examination revealed a penetrating wound in the right flank, gross hematuria, and signs of hypovolemic shock. The patient was diagnosed with grade II hypovolemic shock due to a renal laceration and duodenal rupture, initial resuscitation and conservative management were followed by exploratory laparotomy and renorrhaphy. Persistent gross hematuria post-renorrhaphy necessitated embolization. Hypovolemic shock resulted from significant bleeding from duodenal and renal lacerations. Renorrhaphy effectively minimized renal parenchymal damage without urine extravasation. Subsequent angiography revealed gross hematuria, indicating renal arteriovenous malformation (AVM). Embolization using a vortex coil successfully managed bleeding from large vessels and improved perfusion in the lesion area. In conclusion, renal trauma poses serious risks, including hypotension and hemorrhagic shock. Prompt resuscitation followed by surgical repair and angiographic embolization are essential. Embolization remains a generally safe and effective method for achieving selective hemostasis in such cases. Keywords: renal trauma; gross hematuria; renorrhaphy; renal-artery embolization
Delayed Onset of Pseudoaneurysm in Brachial Stab Wound Trauma: A Case Report Tangkilisan, Adrian; Sukanto, Wega; Tamburian, Christha Z.; Paat, Rigel K.; Pontoh, Pramijaya R.
Medical Scope Journal Vol. 8 No. 2 (2026): MEDICAL SCOPE JOURNAL
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v8i2.64553

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Abstract: Pseudoaneurysms of the extremity are rare and may present acutely or subacutely. Very rarely, the presence of thromboembolism in the aneurysm can result in terminal ischemia, gangrene, and amputation. Only early diagnosis and treatment can prevent progression to significant disability. This case report described a 36-year-old male referred to the hospital with a complaint of a lump in the upper left arm for two months before admission. The patient reported a history of being punctured by a nail, and one week later, an enlarging lump appeared. The patient also complained of a lump on the right chin for one month before hospital admission. The patient was then diagnosed with an impending rupture of the left brachial pseudoaneurysm due to a puncture wound in the left brachial and was scheduled for arterial repair. Although the diagnosis and treatment of the patient were delayed for two months and treated surgically, no immediate or late complications were seen. This case underscores the crucial role of timely diagnosis and surgical treatment, as upper extremity aneurysms can cause severe decreases in function and lead to the loss of an arm or fingers. The successful surgical reconstruction in this case is a motivating example of the preferred treatment for such patients. Keywords:  pseudoaneurysm; brachial artery; repair artery; delayed onset
Co-Authors Alwin Monoarfa Audi Pirade Eko Prasetyo Gloria A. Thomas, Gloria A. Gufi George Stefanus, Gufi George Heber B. Sapan, Heber B. Ishak Lahunduitan, Ishak Iskandar, Edward Kent Paat, Rigel Kissra, Christianto Korompips, Grace E. C. Lolongan, Gerald R. Lolongan, Gerald Randy Marpaung, Elfrida L. Paat, Rigel Paat, Rigel K. Pitojo, Kevin G. Pontoh, Pramijaya R. Riahna, Else Rustandi, Danny K. Saleh, Denny Satriadi, Wayan Soesanto, Hendry Sukanto, Wega Tamburian, Christa Tamburian, Christha Tamburian, Christha Z. Tampubolon, Harris J. Tjiptadi, Vincent D. Zenithy Tamburian, Christha