Grade IV renal trauma in a patient with a solitary kidney.

Abstract

A 60-year-old woman with a grade IV trauma to a solitary kidney was referred to our hospital. After primary conservative management, a continuous decline of the renal function required surgical exploration with decompression and renal reconstruction on the 4th day after the trauma. Postsurgical anuria prompted insertion of a ureteral stent; thereafter the renal function recovered quickly. A urinoma caused by a urinary fistula emerged 6 months after the trauma and was treated by percutaneous drainage, ureteral stenting, and percutaneous occlusion with fibrin sealant. Twelve months after the trauma, the patient is symptom free with a normal renal function.

• Authors: M Marszalek, S Madersbacher, M Rauchenwald
• Journal: Urologia internationalis (Urol Int) Vol. 81 Issue 2 Pg. 241-3 ( 2008) ISSN: 1423-0399 [Electronic] Switzerland
• PMID: 18758229 (Publication Type: Case Reports, Journal Article)
• Copyright: (c) 2008 S. Karger AG, Basel.

Topics

• Female
• Humans
• Kidney (abnormalities, diagnostic imaging, injuries, surgery)
• Middle Aged
• Radiography
• Trauma Severity Indices
• Wounds, Nonpenetrating (surgery)