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

Yıl 2014, Cilt: 5 Sayı: 1, 21 - 23, 01.01.2014

Necdet Poyraz Abdussamet Batur Mehmet Balasar

https://izlik.org/JA92BF59AX

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

https://izlik.org/JA92BF59AX

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

• 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]
• 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]
• Rhyner P, Federle MP, Jeffrey RB. CT of trauma to the abnormal kidney. AIR Am J Roentgenol 1984; 142: 747-50. [CrossRef]
• Hall SJ, Carpinito GA. Traumatic rupture of a renal pelvis obstructed at the ureteropelvic junction: case report. J Trauma 1994; 37: 850-2. [CrossRef]
• 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.
• 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.
• McGahan PJ, Richards JR, Bair AE, Rose JS. Ultrasound detection of blunt urological trauma: a 6-year study. Injury 2005; 36: 762-70. [CrossRef]
• 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]
• 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]
• Ramchandani P, Bucker PM. Imaging of genitourinary trauma. AJR Am J Roentgenol 2009; 192: 1514-23. [CrossRef]