Isolated Grade 5 Renal Trauma in a Hemodynamically Stable Patient

Isolated grade 5 renal trauma in a hemodynamically stable patient is rare. It is therefore unsurprising there are conflicting recommendations on management of these injuries from authorities including the AUA, EAU and SIU. We present a 26-year-old male with flank pain following a 3-m fall whilst bic...

Descripción completa

Detalles Bibliográficos
Autores principales: Dantanarayana, Nandu, Ting, Francis, Symons, James, Evans, David, Graham, Antony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Trauma and Reconstruction
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719900/
https://www.ncbi.nlm.nih.gov/pubmed/26793573
http://dx.doi.org/10.1016/j.eucr.2015.11.005
Descripción
Sumario:Isolated grade 5 renal trauma in a hemodynamically stable patient is rare. It is therefore unsurprising there are conflicting recommendations on management of these injuries from authorities including the AUA, EAU and SIU. We present a 26-year-old male with flank pain following a 3-m fall whilst bicycle riding off a ramp, who was found to have an isolated grade 5 renal injury (shattered kidney). He was managed with early angio-embolization and subsequent nephrectomy due to ongoing bleeding. Further reports of clinician experience with this type of renal injury are needed to clarify best practice in management.

Ejemplares similares