Kidney trauma grade IV: abdomen closed trauma
DOI:
https://doi.org/10.48193/revistamexicanadeurologa.v82i4.812Keywords:
Kidney injury , Nephrectomy , blunt abdominal trauma , hematuriaAbstract
Description of the clinical case: A 16-year-old patient presented trauma with 48-hour evolution, after a fall from a moving bicycle, impacting on his left side against the pavement. The abdominal tomography revealed the presence of an expanding perirenal hematoma. An exploratory laparotomy was performed, observing hemoperitoneum and left renal hematoma, renal ileus injury with active bleeding, and expanding hematoma. It was decided to perform left nephrectomy.
Relevance: Kidney trauma is the most common genitourinary injury. About 90% are blunt trauma.
Clinical implications: Although most kidney traumas are limited and a rare cause of death, when they are not properly diagnosed and treated, they cause high morbidity due to late complications: arterial hypertension, hydronephrosis, traumatic pseudonephrosis, renal atrophy and renal lithiasis.
Conclusion: Young patients are in greater risk of abdominal injuries.
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