Blunt Renal Trauma in a Pre-Existing Renal Lesion
A 70-year-old male presented with direct trauma to his loin with gross hematuria, as an isolated case of blunt renal trauma (BRT) due to a traffic accident. A pre-existing renal lesion (PERL) was strongly suspected by his past history of gross macroscopic hematuria and monotrauma to the kidney witho...
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| Format: | Article |
| Language: | English |
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Wiley
2006-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2006.364 |
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| author | G.V. Soundra Pandyan Idris Omo-Adua Mohammed Al Rashid Ahmed Bakheet Zaharan |
| author_facet | G.V. Soundra Pandyan Idris Omo-Adua Mohammed Al Rashid Ahmed Bakheet Zaharan |
| author_sort | G.V. Soundra Pandyan |
| collection | DOAJ |
| description | A 70-year-old male presented with direct trauma to his loin with gross hematuria, as an isolated case of blunt renal trauma (BRT) due to a traffic accident. A pre-existing renal lesion (PERL) was strongly suspected by his past history of gross macroscopic hematuria and monotrauma to the kidney without other associated injuries. Spiral CT scan with contrast and a retrograde pyelogram (RGP) confirmed an occult complex renal cyst. The gold standard of CT diagnosis in this situation is stressed. Computed tomography is particularly useful in evaluating traumatic injuries to kidneys with pre-existing abnormalities. The decision on the initial course of conservative management, ureteral retrograde stenting to drain extravasation, and its final outcome are discussed. Radical nephroureterectomy was carried out by a transperitoneal approach with an early vascular control of the renal pedicle. A brief review of recent literature has been undertaken. |
| format | Article |
| id | doaj-art-a9be794d3d5a4518a9f61b024488e0ad |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2006-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-a9be794d3d5a4518a9f61b024488e0ad2025-02-03T06:08:31ZengWileyThe Scientific World Journal1537-744X2006-01-0162334233810.1100/tsw.2006.364Blunt Renal Trauma in a Pre-Existing Renal LesionG.V. Soundra Pandyan0Idris Omo-Adua1Mohammed Al Rashid2Ahmed Bakheet Zaharan3Department of Urology, Assir Central Hospital, ABHA, Saudi ArabiaDepartment of Urology, Assir Central Hospital, ABHA, Saudi ArabiaDepartment of Urology, Assir Central Hospital, ABHA, Saudi ArabiaDepartment of Urology, Assir Central Hospital, ABHA, Saudi ArabiaA 70-year-old male presented with direct trauma to his loin with gross hematuria, as an isolated case of blunt renal trauma (BRT) due to a traffic accident. A pre-existing renal lesion (PERL) was strongly suspected by his past history of gross macroscopic hematuria and monotrauma to the kidney without other associated injuries. Spiral CT scan with contrast and a retrograde pyelogram (RGP) confirmed an occult complex renal cyst. The gold standard of CT diagnosis in this situation is stressed. Computed tomography is particularly useful in evaluating traumatic injuries to kidneys with pre-existing abnormalities. The decision on the initial course of conservative management, ureteral retrograde stenting to drain extravasation, and its final outcome are discussed. Radical nephroureterectomy was carried out by a transperitoneal approach with an early vascular control of the renal pedicle. A brief review of recent literature has been undertaken.http://dx.doi.org/10.1100/tsw.2006.364 |
| spellingShingle | G.V. Soundra Pandyan Idris Omo-Adua Mohammed Al Rashid Ahmed Bakheet Zaharan Blunt Renal Trauma in a Pre-Existing Renal Lesion The Scientific World Journal |
| title | Blunt Renal Trauma in a Pre-Existing Renal Lesion |
| title_full | Blunt Renal Trauma in a Pre-Existing Renal Lesion |
| title_fullStr | Blunt Renal Trauma in a Pre-Existing Renal Lesion |
| title_full_unstemmed | Blunt Renal Trauma in a Pre-Existing Renal Lesion |
| title_short | Blunt Renal Trauma in a Pre-Existing Renal Lesion |
| title_sort | blunt renal trauma in a pre existing renal lesion |
| url | http://dx.doi.org/10.1100/tsw.2006.364 |
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