Renal rupture in blunt trauma: a report of a conservative management :: The Official Journal of Tunisian Society of Emergency Medicine

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Renal rupture in blunt trauma: a report of a conservative management

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Renal rupture in blunt trauma: a report of a conservative management

Authors: Karray Rim, Chakroun Olfa, Souissi Basma, Rekik Noureddine

Establishments: Emergency Department, university hospital habib bourguiba, Radiology Department, University Hospital Habib Bourguiba

Background: Renal injuries are commonly reported in blunt abdominal trauma and are usually associated to other abdominal injuries. Renal rupture may be misdiagnosed and its management, especially in severe lesions, is still controversial.

Observation: We describe the case of renal rupture diagnosed in the Emergency Department and conservatively managed. The outcome was good thanks to the early diagnosis and the management of the renal trauma.

Conclusion: Conservative management in renal rupture is possible in stable patients provided that the imaging is early done. Study type: therapeutic and decision.

Keywords: Blunt trauma, renal rupture, Emergency, Imaging, conservative management

Renal rupture in blunt trauma: a report of a conservative management

01

Morey AF., Brandes S., Dugi DD., Armstrong JH, Breyer BN, BroghammerJA et al.Urotrauma: AUA guidelines. J Urol. 2014; 192(2): 327–335. doi: 10.1016/j.juro.2014.05.004

02

Morey AF., Brandes S., Dugi DD., Armstrong JH, Breyer BN, BroghammerJA et al.Urotrauma: AUA guidelines. J Urol. 2014; 192(2): 327–335. doi: 10.1016/j.juro.2014.05.004

03

Kansas BT, Eddy MJ, Mydlo JH, Uzzo RG. Incidence and management of penetrating renal trauma in patients with multiorgan injury: extended experience at an inner city trauma center. J Urol. 2004; 172: 1355–60.PMID: 15371841

04

Murawski M, Gołębiewski A., Komasara L., Czauderna P. Rupture of the normal renal pelvis after blunt abdominal trauma. J Pediatr Surg. 2008;43:e31-3. DOI: 10.1016/j. jpedsurg.2008.04.034

05

Ashebu SD, Elshebiny YH, Dahniya MH. Spontaneous rupture of renal pelvis. AustralasRadiol 2000; 44: 125-7. PMID: 10761275

06

McAleer IM, Kaplan GW, LoSasso BE. Congenital urinary tract anomalies in pediatric renal trauma patients. J Urol. 2002; 168: 1808-10. DOI:10.1097/01.ju.0000028338.48621.57

07

Dayal M., Gamanagatti S., Kumar A. Imaging in renal trauma. World J Radiol. 2013; 28; 5: 275-284. doi:10.4329/ wjr.v5.i8.275.

08

Lynch TH, Martínez-Piñeiro L, Plas E, Serafetinides E, Türkeri L, Santucci RA, Hohenfellner M. European Association of Urology.EAU guidelines on urological trauma. EurUrol2005; 47: 1-15. DOI: 10.1016/j. eururo.2004.07.028.

09

Harper K., Shah H. Renal trauma after blunt abdominal injury. J Emerg Med. 2013;45(3):400-4. DOI: 10.1016/j. jemermed.2013.03.043

10

Osman N., Eissawy MG., Mohamed AM. %e role of multidetector computed tomography with 3D images in evaluation and grading of renal trauma. %e Egyptian Journal of Radiology and Nuclear Medicine 2016; 47, 305–317. http://dx.doi.org/10.1016/j.ejrnm.2015.12.003.

11

Alonso RC, Nacenta SB, Martinez PD, Guerrero AS, Fuentes CG.Kidney in danger: CT &ndings of blunt and penetrating renal trauma. Radiographics 2009;29:2033-53. DOI: 10.1148/rg.297095071

12

Berko NS, Dym RJ. Computed Tomographic Imaging of Renal and Ureteral Emergencies. CurrProblDiagnRadiol 2015;44:207–20. DOI: 10.1067/j.cpradiol.2014.08.005

13

Lee YJ, Oh SN, Rha SE, Byun JY. Renal trauma. RadiolClin North Am 2007;45(3):581–92. DOI: 10.1016/j. rcl.2007.04.004

14

Shariat SF, Roehrborn CG., Karakiewicz PI., Dhami G, Stage KH.Evidence-based validation of the predictive value of the American Association for the Surgery of Trauma kidney injury scale. J Trauma 2007; 62: 933-9. DOI: 10.1097/TA.0b013e318031ccf9

15

Heller M., Schnor N. MDCT of renal trauma: correlation to AAST organ injury scale. ClinImaging 2014;38: 410–417. DOI: 10.1016/j.clinimag.2014.02.001

16

Boone TB, Gilling PJ, Husmann DA. Ureteropelvic junction disruption following blunt abdominal trauma. J Urol 1993; 150(1):33–6.PMID: 8510270

17

Goldman SM, Sandler CM. Urogenital trauma: imaging upper GU trauma. Eur J Radiol 2004;50:84–95.DOI :10.1016/j.ejrad.2003.11.018

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