Nature reviews. Urology · 2009
Endovascular management of grade V blunt renal trauma with associated splenic injury.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Sahai Arun, Cuthbert Faye, Niekrash Ramon, Siddiqui Midhat, Gulati Manpreet Singh
Аннотация
BACKGROUND: A 15-year-old boy presented to hospital with tenderness in his left loin and hypochondrium, and frank hematuria; he was hemodynamically stable. The patient was overweight and had fallen onto his left flank from his bicycle 2 h previously.
INVESTIGATIONS: Physical examination, routine blood tests, contrast-enhanced CT of the abdomen and pelvis, renal MRI and percutaneous transfemoral angiography.
DIAGNOSIS: Grade V blunt renal trauma, grade IV splenic injury and left renal vein thrombosis.
MANAGEMENT: The patient received conservative management with supportive measures followed by percutaneous transfemoral angiography and embolization of the injured left kidney. He recovered well and was able to resume normal activities.
INVESTIGATIONS: Physical examination, routine blood tests, contrast-enhanced CT of the abdomen and pelvis, renal MRI and percutaneous transfemoral angiography.
DIAGNOSIS: Grade V blunt renal trauma, grade IV splenic injury and left renal vein thrombosis.
MANAGEMENT: The patient received conservative management with supportive measures followed by percutaneous transfemoral angiography and embolization of the injured left kidney. He recovered well and was able to resume normal activities.