Renal trauma after blunt abdominal injury.
Publication Type | Case Report |
Authors | Harper K, Shah K |
Journal | J Emerg Med |
Volume | 45 |
Issue | 3 |
Pagination | 400-4 |
Date Published | 07/08/2013 |
ISSN | 0736-4679 |
Keywords | Baseball, Kidney, Wounds, Nonpenetrating |
Abstract | BACKGROUND: The kidney is the third most common solid organ injury in blunt abdominal trauma. The preferred treatment of blunt kidney injury varies according to grade of severity, with a preference for non-operative management in most instances. DISCUSSION: We examine an unusual case of blunt renal trauma. In this case, our patient presented with severe flank pain and hematuria after a game of softball. Our focused abdominal sonography for trauma revealed fluid in the splenorenal recess concerning for intra-abdominal injury, and subsequent abdominal computed tomography confirmed a grade IV kidney laceration. CONCLUSION: Our patient was managed medically despite his high grade of injury. This article reviews the diagnosis and management of blunt renal trauma and highlights the fact that despite significant injury, a patient can go on to do well with conservative management alone. |
DOI | 10.1016/j.jemermed.2013.03.043 |
PubMed ID | 23845527 |