Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Hydronephrosis during Conservative Treatment for a Renal Injury Patient

  • Kim, Maru (Department of Trauma Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Joongsuck (Department of Trauma Surgery, Cheju Halla General Hospital) ;
  • Kim, Sung Jeep (Department of Trauma Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Cho, Hang Joo (Department of Trauma Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2017.01.05
  • Accepted : 2017.01.12
  • Published : 2017.06.30
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Abstract

A 21-year-old male visited our emergency room. He could not remember the mechanism of injury. He was found beside a motorcycle. Initial vital sign was stable. Observation and conservative treatment were planned at the intensive care unit (ICU). On the third day at ICU, he complained sudden flank pain. It was colicky and hard to control. Without the pain, he had no specific symptom, sign, or laboratory findings. On computed tomography, renal pelvis was filled with hematoma which induced hydronephrosis. Double-J catheter and percutaneous nephrostomy was implemented by an intervention radiologist. Hematome in the renal pelvis was aspirated during the procedure. Symptom of the patient was subsided after the procedure. He was discharged without specific complications.

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References

  1. Serafetinides E, Kitrey ND, Djakovic N, Kuehhas FE, Lumen N, Sharma DM, et al. Review of the current management of upper urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol 2015; 67: 930-6. https://doi.org/10.1016/j.eururo.2014.12.034
  2. Bryk DJ, Zhao LC. Guideline of guidelines: a review of urological trauma guidelines. BJU Int 2016; 117: 226-34. https://doi.org/10.1111/bju.13040
  3. Morey AF, Brandes S, Dugi DD, 3rd, Armstrong JH, Breyer 2014; 192: 327-35.
  4. Santucci RA, Bartley JM. Urologic trauma guidelines: a 21st century update. Nat Rev Urol 2010; 7: 510-9. https://doi.org/10.1038/nrurol.2010.119
  5. Bent C, Iyngkaran T, Power N, Matson M, Hajdinjak T, Buchholz N, et al. Urological injuries following trauma. Clin Radiol 2008; 63: 1361-71. https://doi.org/10.1016/j.crad.2008.03.011
  6. Stein DM, Santucci RA. An update on urotrauma. Curr Opin Urol 2015; 25: 323-30.
  7. Santucci RA, Wessells H, Bartsch G, Descotes J, Heyns CF, McAninch JW, et al. Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee. BJU Int 2004; 93: 937-54. https://doi.org/10.1111/j.1464-4096.2004.04820.x
  8. Setia S, Jackson J, Herndon CD, Corbett S. Delayed Partial Nephrectomy for Hydronephrosis after Renal Trauma. Urology 2016.
  9. Burks FN, Santucci RA. Management of iatrogenic ureteral injury. Ther Adv Urol 2014; 6: 115-24. https://doi.org/10.1177/1756287214526767
  10. Esparaz AM, Pearl JA, Herts BR, LeBlanc J, Kapoor B. Iatrogenic urinary tract injuries: etiology, diagnosis, and management. Semin Intervent Radiol 2015; 32: 195-208. https://doi.org/10.1055/s-0035-1549378
  11. Malik T, Khan S. An unusual cause of hydronephroureter. J Coll Physicians Surg Pak 2014; 24: 766-7.
  12. Tseng PC, Liu TY, Pan SJ, Sung DS. Spontaneous perirenal urinoma associated with ureteropelvic junction obstruction in a child: a case report. Pediatr Neonatol 2009; 50: 121-4. https://doi.org/10.1016/S1875-9572(09)60047-4
  13. Lee WJ, Lin HJ, Cheng TC. Ureteral injury due to blunt abdominal trauma. Eur J Emerg Med 2006; 13: 244-6. https://doi.org/10.1097/01.mej.0000209060.01129.35
  14. Bauab T, Jr. Renal pelvic hematoma in hydronephrotic kidney. Urology 1985; 25: 547. https://doi.org/10.1016/0090-4295(85)90476-5