Künt Travmaya Bağlı İzole Böbrek Yaralanması: Olgu Sunumu

Year 2010, Volume: 1 Issue: 1, 18 - 20, 01.01.2010

Havva Şahin Kavaklı Orhan Delice

Abstract

Böbrekler lokalizasyonları nedeniyle nadiren travmaya maruz kalır. Renal
travma tüm travma başvurularının %3’ünü, abdominal travmaların ise
%10’u oluşturur. Amacımız grade-5 böbrek yaralanması olup, konservatif
tedavi edilen bir olguyu tartışmaktır. Bisiklet kazası nedeniyle görülen
künt abdominal travmaya sekonder izole böbrek yaralanmasını rapor
etmekteyiz. 36 yaşındaki erkek hasta bisiklet kazası sonrası bel bölgesine
direkt travmayla gros hematüri ve sol flank ağrısıyla başvurdu. Hastaya
bilgisayarlı tomografi ile grade-5 böbrek yaralanması (paramparça böbrek)
tanısı konuldu. Hasta üroloji servisinde yatırıldı ve konservatif yaklaşımla
tedavi edildi. Herhangibir komplikasyon gelişmeyen hasta taburcu edildi. Bu
olgu ciddi böbrek travmasında konservatif yaklaşımın başarılı olabileceğini
düşündürmektedir.

Keywords

Böbrek yaralanması, Travma, Konservatif yaklaşım

Isolated Renal Injury After Blunt Trauma: Case Report

Abstract

The kidneys are rarely exposed to trauma by reason of localization. Renal trauma accounts for about 3% of all trauma admissions and as many as 10% of patients who experience abdominal trauma. Our aim is to discuss a case with grade-5 kidney injury which was treated as conservative management.We report a case of isolated renal injury secondary to blunt abdominal trauma which was occured because of a bycyle accident. A 36-year-old male presented with left flank pain and gross hematuria after a bycycle accident with a direct trauma to his loin. After a diagnosis with computed tomography (CT) it was releaved that shattered kidney (grade-5 kidney injury). The patient hospitalized in urology department and has been treated with conservative management. At the end of the treatment he was discharged without any complication. It is considered that conservative management may be succesful in severe renal trauma

Keywords

Kidney injury, Trauma, Conservative management

References

• Raheem O, St John Floyd M, Casey RG, Cullen IM, Corcoran MO, Bredin HC, et al. Renal trauma in the west of Ireland-a regional review. ScientificWorldJournal. 2009;9:137-43.
• Shariat SF, Roehrborn CG, Karakiewicz PI, Dhami G, Stage KH. Evidence-based validation of the predictive value of the American Association for the Surgery of Trauma kidney injury scale. J Trauma. 2007 ;62:933-9.
• Schmidlin F. Renal trauma. Treatment strategies and indications for surgical exploration. Urologe A. 2005 ;44:863-9.
• Saidi A, Descotes JL, Sengel C, Terrier N, Manel A, Moalic R, et al. Management of blunt trauma of the kidney. Prog Urol. 2004 ;14:461-71.
• Tsujimoto Y, Fujita M, Hatano K, Arai Y, Takada T, Takada S et al. Renal transection conservatively treated three times by selectively transarterial embolization (TAE): a case report. Hinyokika Kiyo. 2008 54:407-10.
• Delgado Oliva FJ, Bonillo García MA, Gómez Pérez L, Oliver Amorós F, Gimeno Argente V, Jiménez Cruz JF. Conservative approach in major renal trauma. Actas Urol Esp. 2007 ;31:132-9.
• Matsuura T, Nose K, Tahara H, Hara Y, Amasaki N, Nishioka T, et al. Evaluation of the management of blunt renal trauma and indication for surgery. Nippon Hinyokika Gakkai Zasshi. 2002 ;93:511-8.
• Pfitzenmaier J, Buse S, Haferkamp A, Pahernik S, Djakovic N, Hohenfellner M. Kidney injuries. Unfallchirurg. 2009 ;112:317-25.
• Davis KA, Reed RL 2nd, Santaniello J, Abodeely A, Esposito TJ, Poulakidas SJ, et al. Predictors of the need for nephrectomy after renal trauma. J Trauma. 2006 ;60:164-9.