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KJIR : Korean Journal of Interventional Radiology

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"Wounds, nonpenetrating"

Case Report
Embolization of Traumatic Ureteric Artery Bleeding: A Case Report
Suyoung Park
Korean J Interv Radiol 2025;30(1):2-4.
Published online September 19, 2025
DOI: https://doi.org/10.64961/kjir.2025.00024
We present a rare case of traumatic ureteric artery bleeding successfully treated with transcatheter arterial embolization. A 65-year-old male with blunt abdominal trauma and hypotension was found to have a left retroperitoneal hematoma with active extravasation on CT. Initial angiography showed no visible bleeding; however, cone-beam CT revealed active hemorrhage from a ureteric artery displaced by the hematoma. Selective embolization using n-butyl cyanoacrylate and ethiodized oil was performed, resulting in hemodynamic stabilization. Follow-up imaging demonstrated resolution of bleeding and positional change of the ureteric artery as the hematoma resolved. This case highlights the diagnostic value of cone-beam CT and the importance of considering ureteric artery injury in cases of unexplained retroperitoneal hemorrhage.
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