Management of high-grade kidney trauma on bilateral polycystic kidney disease: A case report
1
Issued Date
2024-09-01
Resource Type
ISSN
22102612
Scopus ID
2-s2.0-85200954917
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. Management of high-grade kidney trauma on bilateral polycystic kidney disease: A case report. International Journal of Surgery Case Reports Vol.122 (2024). doi:10.1016/j.ijscr.2024.110158 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/100523
Title
Management of high-grade kidney trauma on bilateral polycystic kidney disease: A case report
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: The kidneys are the genitourinary organs most susceptible to trauma. One case is high-grade kidney trauma that can lead to kidney failure, such as Polycystic Kidney Disease (PKD). Here, we report a case of high-grade kidney trauma on PKD. Case report: A 28-year-old man was involved in a traffic accident and was diagnosed with a left kidney rupture. There was minimal free fluid in the abdominal cavum and left pleural effusion. The results of USG in the left kidney showed a rupture in the posterior part of the cortex-medulla reaching the calyx, accompanied by a left posterior peri-renal hematoma and a PKD in the right kidney. In the CT scan examination, the hematoma extended to the lower left retroperitoneum and peripancreatic. The size of the left kidney was enlarged. In the right kidney, PKD was accompanied by an enlargement of the kidney size, but no rupture was obtained. Patient had been diagnosed with high-grade kidney trauma (AAST Grade IV). The patient was given conservative therapy. He was alive and discharged from the hospital. Clinical discussion: Non-operative management (NOM) is the standard in kidney trauma management, with good outcomes in preventing morbidity and mortality. The trend toward this procedure results in a decrease in the number of unnecessary nephrectomies and a potential improvement in the quality of patient inhalation. Ultrasound and CT scan examinations are important markers. Conclusion: The management of high-grade kidney trauma on PKD can be carried out conservatively and show good patient outcomes.