{"id":"https://openalex.org/W7225747112","doi":"https://doi.org/10.21203/rs.3.rs-11645503/v1","title":"Delayed Haemorrhage from a Lower-Pole Renal Artery Pseudoaneurysm Complicating Grade III Blunt Renal Trauma in a Solitary Kidney: A Case Report","display_name":"Delayed Haemorrhage from a Lower-Pole Renal Artery Pseudoaneurysm Complicating Grade III Blunt Renal Trauma in a Solitary Kidney: A Case Report","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225747112","doi":"https://doi.org/10.21203/rs.3.rs-11645503/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-11645503/v1","doi":"https://doi.org/10.21203/rs.3.rs-11645503/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11645503/v1","pdf_url":"https://www.researchsquare.com/article/rs-11645503/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-11645503/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5032007178","display_name":"Jeewan Samarasena","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800938874","display_name":"Lady Ridgeway Hospital for Children","ror":"https://ror.org/04pysv427","country_code":"LK","type":"healthcare","lineage":["https://openalex.org/I2800938874"]}],"countries":["LK"],"is_corresponding":true,"raw_author_name":"Jeewan Samarasena","raw_affiliation_strings":["Lady Ridgeway Hospital for Children"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lady Ridgeway Hospital for Children","institution_ids":["https://openalex.org/I2800938874"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5032007178"],"corresponding_institution_ids":["https://openalex.org/I2800938874"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9688000082969666,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9688000082969666,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12067","display_name":"Renal and Vascular Pathologies","score":0.02019999921321869,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.003800000064074993,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9433000087738037},{"id":"https://openalex.org/C2775901891","wikidata":"https://www.wikidata.org/wiki/Q3137609","display_name":"Pseudoaneurysm","level":3,"score":0.6047000288963318},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5925999879837036},{"id":"https://openalex.org/C2776634560","wikidata":"https://www.wikidata.org/wiki/Q707540","display_name":"Renal artery","level":3,"score":0.5254999995231628},{"id":"https://openalex.org/C2778286760","wikidata":"https://www.wikidata.org/wiki/Q1224954","display_name":"Digital subtraction angiography","level":3,"score":0.5175999999046326},{"id":"https://openalex.org/C2780472472","wikidata":"https://www.wikidata.org/wiki/Q424337","display_name":"Acute kidney injury","level":2,"score":0.49470001459121704},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.43959999084472656},{"id":"https://openalex.org/C2780014101","wikidata":"https://www.wikidata.org/wiki/Q183605","display_name":"Blood transfusion","level":2,"score":0.43849998712539673},{"id":"https://openalex.org/C159641895","wikidata":"https://www.wikidata.org/wiki/Q108377937","display_name":"Renal function","level":2,"score":0.4375999867916107},{"id":"https://openalex.org/C2780091579","wikidata":"https://www.wikidata.org/wiki/Q9377","display_name":"Kidney","level":2,"score":0.42260000109672546},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.4142000079154968},{"id":"https://openalex.org/C2777521253","wikidata":"https://www.wikidata.org/wiki/Q770709","display_name":"Blunt trauma","level":2,"score":0.36629998683929443},{"id":"https://openalex.org/C2781456509","wikidata":"https://www.wikidata.org/wiki/Q5422284","display_name":"Urinoma","level":3,"score":0.366100013256073},{"id":"https://openalex.org/C77411442","wikidata":"https://www.wikidata.org/wiki/Q181100","display_name":"Urinary system","level":2,"score":0.35690000653266907},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.35269999504089355},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.3456999957561493},{"id":"https://openalex.org/C2780306776","wikidata":"https://www.wikidata.org/wiki/Q426660","display_name":"Creatinine","level":2,"score":0.3393000066280365},{"id":"https://openalex.org/C105698618","wikidata":"https://www.wikidata.org/wiki/Q886371","display_name":"Blunt","level":2,"score":0.33649998903274536},{"id":"https://openalex.org/C142225936","wikidata":"https://www.wikidata.org/wiki/Q1129139","display_name":"Renal blood flow","level":3,"score":0.30570000410079956},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.28839999437332153},{"id":"https://openalex.org/C2777609351","wikidata":"https://www.wikidata.org/wiki/Q3089469","display_name":"Sequela","level":2,"score":0.26249998807907104},{"id":"https://openalex.org/C2780227381","wikidata":"https://www.wikidata.org/wiki/Q1357376","display_name":"Nephrectomy","level":3,"score":0.26159998774528503},{"id":"https://openalex.org/C2781087799","wikidata":"https://www.wikidata.org/wiki/Q7312483","display_name":"Renal biopsy","level":3,"score":0.26109999418258667},{"id":"https://openalex.org/C2908662681","wikidata":"https://www.wikidata.org/wiki/Q1534492","display_name":"Microscopic hematuria","level":4,"score":0.25519999861717224},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2549000084400177},{"id":"https://openalex.org/C2781362458","wikidata":"https://www.wikidata.org/wiki/Q1588755","display_name":"Thrombus","level":2,"score":0.2547999918460846}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-11645503/v1","doi":"https://doi.org/10.21203/rs.3.rs-11645503/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11645503/v1","pdf_url":"https://www.researchsquare.com/article/rs-11645503/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-11645503/v1","doi":"https://doi.org/10.21203/rs.3.rs-11645503/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-11645503/v1","pdf_url":"https://www.researchsquare.com/article/rs-11645503/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225747112.pdf","grobid_xml":"https://content.openalex.org/works/W7225747112.grobid-xml"},"referenced_works_count":4,"referenced_works":["https://openalex.org/W2000626158","https://openalex.org/W2142319638","https://openalex.org/W2920825003","https://openalex.org/W2993330950"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"Blunt":[2],"renal":[3,44,79,175,240,282],"trauma":[4,283],"in":[5,254,338],"children":[6],"with":[7,68,81,102,108,131,139,182,204,227,267,275],"a":[8,12,69,75,85,109,132,159,178,190,197,276,339],"solitary":[9,71,256,277,340],"kidney":[10,73,220,278,336],"poses":[11],"distinct":[13],"management":[14],"challenge,":[15],"as":[16,167],"the":[17,26,51,55,120,173,233,255,263],"imperative":[18],"for":[19,92,172,304,309,342],"nephron":[20],"preservation":[21],"must":[22],"be":[23,331],"balanced":[24],"against":[25],"risk":[27,286],"of":[28,42,112,125,169,193,225,229,239,287,302],"delayed":[29,288,305],"vascular":[30],"complications.":[31],"Renal":[32],"artery":[33],"pseudoaneurysm":[34,181,292],"is":[35,327],"an":[36],"uncommon":[37],"but":[38,329],"potentially":[39],"life-threatening":[40],"sequela":[41],"blunt":[43,281],"injury":[45,80,221,337],"and":[46,99,105,142,189,208,237,270,279,315,347],"may":[47,330],"present":[48],"days":[49],"after":[50,295],"index":[52,301],"event,":[53],"once":[54],"patient":[56],"has":[57],"been":[58],"de-escalated":[59],"from":[60,150],"intensive":[61,113],"monitoring.":[62],"Case":[63],"presentation:":[64],"A":[65,299],"9-year-old":[66],"boy":[67],"congenital":[70],"right":[72,78],"sustained":[74],"grade":[76],"III":[77],"retroperitoneal":[82],"haematoma":[83],"following":[84],"road":[86],"traffic":[87],"accident.":[88],"He":[89],"was":[90,200,215,260],"resuscitated":[91],"compensated":[93],"haemorrhagic":[94,289],"shock":[95],"(lactate":[96],"4.8":[97],"mmol/L)":[98],"managed":[100,138],"initially":[101],"blood":[103,134],"transfusion":[104,187],"non-operative":[106],"care,":[107],"two-day":[110],"period":[111],"care":[114],"unit":[115],"monitoring":[116],"before":[117],"transfer":[118],"to":[119,146,202,321],"ward.":[121],"On":[122],"day":[123,236,244,266],"five":[124],"admission":[126],"he":[127],"developed":[128],"gross":[129],"haematuria":[130,313],"pelvic":[133],"clot":[135,152],"on":[136,232,262],"ultrasound,":[137],"tranexamic":[140],"acid":[141],"transfusion.":[143],"This":[144],"progressed":[145],"acute":[147,219,335],"urinary":[148],"retention":[149],"bladder":[151],"obstruction":[153],"requiring":[154,222],"suprapubic":[155],"catheterisation,":[156],"accompanied":[157],"by":[158,217,242,333],"rising":[160],"serum":[161],"creatinine.":[162],"Computed":[163],"tomography":[164],"angiography,":[165],"performed":[166],"part":[168],"nephrology-directed":[170],"work-up":[171],"deteriorating":[174],"function,":[176],"demonstrated":[177],"lower-pole":[179],"arterial":[180],"active":[183],"bleeding.":[184],"Following":[185],"further":[186],"requirements":[188],"peak":[191],"creatinine":[192],"approximately":[194],"600":[195],"\u00b5mol/L,":[196],"multidisciplinary":[198],"decision":[199],"made":[201],"proceed":[203],"digital":[205],"subtraction":[206],"angiography":[207],"coil":[209],"embolisation.":[210],"The":[211,258],"immediate":[212],"post-procedural":[213,235,265],"course":[214],"complicated":[216],"anuric":[218],"72":[223],"hours":[224],"haemodialysis,":[226],"recovery":[228],"urine":[230],"output":[231],"fourth":[234],"normalisation":[238],"function":[241],"post-operative":[243],"twelve.":[245],"Follow-up":[246],"ultrasound":[247],"at":[248,285],"two":[249],"weeks":[250],"showed":[251],"parenchymal":[252],"changes":[253],"kidney.":[257],"child":[259],"discharged":[261],"fifteenth":[264],"planned":[268],"surgical":[269],"nephrology":[271],"follow-up.":[272],"Conclusions:":[273],"Children":[274],"moderate-to-severe":[280],"remain":[284],"complications,":[290],"including":[291],"formation,":[293],"even":[294],"apparent":[296],"early":[297,316],"stabilisation.":[298],"high":[300],"suspicion":[303],"bleeding,":[306],"low":[307],"threshold":[308],"repeat":[310],"imaging":[311],"when":[312],"recurs,":[314],"angiographic":[317],"intervention":[318],"are":[319,350],"essential":[320],"achieve":[322],"nephron-sparing":[323],"haemostasis.":[324],"Superselective":[325],"embolisation":[326],"effective":[328],"followed":[332],"transient":[334],"kidney,":[341],"which":[343],"close":[344],"nephrological":[345],"support":[346],"dialysis":[348],"readiness":[349],"required.":[351]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}