Blunt Renal Trauma: A Case Report Künt Renal Travma: Bir Olgu Sunumu

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Eyinç M. B., Beydilli İ., YILMAZ F., Arslan E. D.

Anatolian journal of emergency medicine, cilt.5, sa.1, ss.34-36, 2022 (Scopus, TRDizin)

Özet

Aim: The ratio of renal traumas among all abdominal traumas is undeniable. With the developing technology, the non-operative approach took place of the operative interventions in the management of renal trauma. In this paper, we compiled a short review about renal trauma and its management based on a patient who was admitted to the emergency department with post-traumatic hematuria. Case: A 29-year-old man is admitted to the emergency department with a complaint of bloody urine and left flank pain. Medical history revealed that he fell down from a height of 1 meter 2 days ago. Left costa-vertebral angle (CVA) tenderness was positive on physical examination. Erythrocyte (1263 P/HPF) and Leukocyte (56 P/HPF) counts were elevated in urinalysis. The patient underwent contrast-enhanced abdominal computed tomography (CT) scan to rule-out kidney injury and left kidney contusion and perirenal hematoma that was in accordance with grade 2 renal injury was detected. No intervention was not considered for the patient, he was admitted to the ward, and he was discharged after an uneventful hospital stay. Conclusion: The incidence of kidney injuries is higher in the young population aged between 31 and 38 years and men account for 72-93% of these cases. Blunt renal injuries, accounting for 71-95 % of renal trauma cases, are more common than penetrating injuries. Motor vehicle accidents are the main cause of blunt trauma, followed by falls, sports, and pedestrian accidents. Up to 95% of blunt renal injuries are minor and treated conservatively as in our case. Currently, conservative management is the preferred therapeutic modality in hemodynamically stable patients with low-grade kidney injury.