International journal of surgery case reports · 2024
Minimal invasive management for untreated high-grade renal trauma and its complication: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Angeli Anastasia Pearl, Wirjopranoto Soetojo, Azmi Yufi Aulia, Putra Antonius Galih Pranesdha, Soetanto Kevin Muliawan
Аннотация
INTRODUCTION AND IMPORTANCE: Renal trauma is a common and associated complication of abdominal trauma. Although there is consensus that most high-grade injuries require surgical exploration, nonoperative management remains a viable approach. We aim to report case reports of four cases of nonoperative isolated high-grade blunt renal trauma in adults, followed by a literature review.
CASE PRESENTATION: A 22-year-old female presented to the emergency room (ER) with intermittent fever and associated symptoms of renal trauma, including persistent left flank pain, nausea, and vomiting. Three weeks earlier was diagnosed with left renal trauma AAST Grade IV. She was advised to go to the hospital but was refused admission. Then she came with intermittent fever, and a second abdominal computed tomography (CT) scan showed urinoma. The patient was managed with a Double J (DJ) stent and percutaneous drainage.
CLINICAL DISCUSSION: Conservative management is the standard of care for hemodynamically stable patients with AAST grade I to III renal injury, regardless of the mechanism of efficiency. If perinephric fluid collection persists despite interventions such as ureteral stenting or percutaneous nephrostomy drainage, percutaneous drainage may facilitate healing and prevent or treat abscesses.
CONCLUSION: Minimal invasive management DJ stent insertion and percutaneous drainage can be used as a treatment for untreated high-grade renal trauma and urinoma as its complication.
CASE PRESENTATION: A 22-year-old female presented to the emergency room (ER) with intermittent fever and associated symptoms of renal trauma, including persistent left flank pain, nausea, and vomiting. Three weeks earlier was diagnosed with left renal trauma AAST Grade IV. She was advised to go to the hospital but was refused admission. Then she came with intermittent fever, and a second abdominal computed tomography (CT) scan showed urinoma. The patient was managed with a Double J (DJ) stent and percutaneous drainage.
CLINICAL DISCUSSION: Conservative management is the standard of care for hemodynamically stable patients with AAST grade I to III renal injury, regardless of the mechanism of efficiency. If perinephric fluid collection persists despite interventions such as ureteral stenting or percutaneous nephrostomy drainage, percutaneous drainage may facilitate healing and prevent or treat abscesses.
CONCLUSION: Minimal invasive management DJ stent insertion and percutaneous drainage can be used as a treatment for untreated high-grade renal trauma and urinoma as its complication.