Minimal invasive management for untreated high-grade renal trauma and its complication: A case report
2
Issued Date
2024-09-01
Resource Type
ISSN
22102612
Scopus ID
2-s2.0-85201228924
Journal Title
International Journal of Surgery Case Reports
Volume
122
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Surgery Case Reports Vol.122 (2024)
Suggested Citation
Angeli A.P., Wirjopranoto S., Azmi Y.A., Putra A.G.P., Soetanto K.M. Minimal invasive management for untreated high-grade renal trauma and its complication: A case report. International Journal of Surgery Case Reports Vol.122 (2024). doi:10.1016/j.ijscr.2024.110175 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/100571
Title
Minimal invasive management for untreated high-grade renal trauma and its complication: A case report
Author's Affiliation
Corresponding Author(s)
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Abstract
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.