Okült Hidronefrozda Basit Bir Futbol İnjurisine Bağlı Renal Pelvis Rüptürü: Olgu Sunumu

Öz

Giriş: Künt abdominal travma sonrası üst üriner sistemin izole yaralanması oldukça nadirdir. Fakat önceden varolan renal anomali durumunda meydana gelen travmalarda rüptür riski artar. Olgu Sunumu: Bu yazımızda daha önce tesbit edilmemiş asemptomatik üreteropelvik bileşkede darlığı olan bir çocukta, travma sonrası ortaya çıkan akut batın tablosunu sunuyoruz. Sonuç: Basit bir batın travması altta yatan böbrek anomalisi nedeniyle ciddi problemlere neden olabilir. BT üriner sistem travmalarında primer görüntüleme yöntemidir.

Anahtar Kelimeler

• Böbrek pelvis rüptürü, travma, okült hidronefroz, BT

Rupture of Renal Pelvis in Occult Hydronephrosis after a Simple Football Injury: A Case Report

Öz

Introduction: Isolated injury to the upper urinary tract following blunt abdominal trauma is very rare. However, a preexisting renal abnormality will increase the risk of rupture. Case Report: We report a case with previously asymptomatic and undetected congenital pelviureteric junction obstruction who first presented with acute abdomen following trauma.Conclusion: A simple abdominal trauma with underlying renal abnormalities can cause serious problems. Computed tomography (CT) is the primary imaging modality in the urinary tract trauma

Anahtar Kelimeler

• Renal pelvis rupture, trauma, occult hydroephrosis, CT

Kaynakça

1. Schmidlin FR, Iselin CE, Naimi A, Rohner S, Borst F, Farshad M, et al. The higher risk of abnormal kidneys in blunt renal trauma. Scand J Urol Nephrol 1998; 32: 388-92. [CrossRef]
2. Brandes S, Coburn M, Armenakas N, McAninch J. Diagnosis and man- agement of ureteric injury: an evidence-based analysis. BJU Int 2004; 94: 277-89. [CrossRef]
3. Rhyner P, Federle MP, Jeffrey RB. CT of trauma to the abnormal kidney. AIR Am J Roentgenol 1984; 142: 747-50. [CrossRef]
4. Hall SJ, Carpinito GA. Traumatic rupture of a renal pelvis obstructed at the ureteropelvic junction: case report. J Trauma 1994; 37: 850-2. [CrossRef]
5. Roberts RA, Belitsky P, Lannon SG, Mack FG, Awad SA. Conservative man- agement of renal lacerations in blunt trauma. Can J Surg 1987; 30: 253-5.
6. McGahan JP, Richards JR, Jones CD, Gerscovich EO. Use of ultrasonogra- phy in the patient with acute renal trauma. J Ultrasound Med 1999; 18: 207-13.
7. McGahan PJ, Richards JR, Bair AE, Rose JS. Ultrasound detection of blunt urological trauma: a 6-year study. Injury 2005; 36: 762-70. [CrossRef]
8. Kawashima A, Sandler CM, Corl FM, West OC, Tamm EP, Fishman EK, et al. Imaging of renal trauma: A comprehensive review. Radiographics 2001; 221: 557-74. [CrossRef]

9. Stuhlfaut JW, Lucey BC, Varghese JC, Soto JA. Blunt abdominal trauma: Utility of 5-minute delayed CT with a reduced radiation dose. Radiology 2006; 238: 473-9. [CrossRef]
10. Ramchandani P, Bucker PM. Imaging of genitourinary trauma. AJR Am J Roentgenol 2009; 192: 1514-23. [CrossRef]