Multitravma sonucu yüksek gradeli renal yaralanma: Acil servis ve nonoperatif yönetimi

Year 2025, Volume: 3 Issue: 1, 35 - 37, 01.02.2025

Mehmet Burak Peköz , Gürkan Cesur

https://doi.org/10.61845/agrimedical.1543554

Abstract

Travma küresel bir problemdir. Müdahaleler kaynak kullanımı açısından etkili ve verimli olmalıdır. Yanlış negatif bulgular veya gecikmiş tanılar ciddi komplikasyon riski taşır. Böbreğin retroperitoneal konumu bir miktar koruma sağlasa da böbrek en çok yaralanan genitoüriner organdır. Son zamanlarda, görüntülemedeki gelişmelerle birlikte, cerrahi olmayan tedavi daha yaygın hale gelmiştir. Ancak, acil nefrektomi, akut kontrol edilemeyen böbrek kanaması için altın standart tedavi olmaya devam etmektedir. Bu olgumuzda silahla yaralanma sonucu oluşan 4. derece böbrek yaralanması olan çoklu travma hastasının acil servis yönetimi ve cerrahi müdahale gerektirmeyen tedavisini sunuyoruz. Ayrıca bu vakada Tüm Vücut Bilgisayarlı Tomografi ile Seçilmiş Bilgisayarlı Tomografi’nin bu olgudaki etkinliklerini karşılaştırmaktayız.

Keywords

Travma, Acil Tedavi, Bilgisayarlı Tomografi, Böbrek hasarı, Konservatif Tedavi

High grade renal injury due to multitrauma: Emergency service and non-operative management

Abstract

Trauma is a global problem. Interventions must be effective and efficient in terms of resource utilization. False negative findings or delayed diagnoses carry the risk of serious complications. Although the retroperitoneal location of the kidney provides some protection, the kidney is the most commonly injured genitourinary organ. Recently, with advances in imaging, nonsurgical treatment has become more common. However, emergency nephrectomy remains the gold standard treatment for acute uncontrolled renal hemorrhage. In this case, we present the emergency department and nonsurgical treatment of a multiple trauma patient with grade 4 renal injury resulting from gunshot wound. We also compare Whole Body Computed Tomography with Selected Computed Tomography.

Keywords

Trauma, Emergency Treatment, Computerised Tomography, Kidney injury, Conservative Treatment

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