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Traumatically shattered kidney without urine extravasation or vascular amputation

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Traumatically shattered kidney without urine extravasation or vascular amputation. / Wendler, Johann Jakob; Jürgens, Julian; Schostak, Martin; Liehr, Uwe-Bernd.

In: BMJ CASE REP, Vol. 2015, 05.03.2015.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Wendler, JJ, Jürgens, J, Schostak, M & Liehr, U-B 2015, 'Traumatically shattered kidney without urine extravasation or vascular amputation', BMJ CASE REP, vol. 2015. https://doi.org/10.1136/bcr-2014-208303

APA

Wendler, J. J., Jürgens, J., Schostak, M., & Liehr, U-B. (2015). Traumatically shattered kidney without urine extravasation or vascular amputation. BMJ CASE REP, 2015. https://doi.org/10.1136/bcr-2014-208303

Vancouver

Wendler JJ, Jürgens J, Schostak M, Liehr U-B. Traumatically shattered kidney without urine extravasation or vascular amputation. BMJ CASE REP. 2015 Mar 5;2015. https://doi.org/10.1136/bcr-2014-208303

Bibtex

@article{9726f01856244deab08c326046841ad4,
title = "Traumatically shattered kidney without urine extravasation or vascular amputation",
abstract = "The American Association for the Surgery of Trauma (AAST) injury scoring scale is commonly used for genitourinary injuries. Normally, grade 4-5 lacerations of the kidney show involvement of the pelvicalyceal system (PCS) with urine extravasation (UE). We present a case of a 41-year-old woman who was hospitalised with macrohaematuria and retroperitoneal haematoma after severe blunt acceleration flank trauma. CT scan showed an extended laceration of the left kidney with separation of upper pole. This is the first case of an extended kidney laceration without UE due to rupture within the dichotomous PCS, which healed up after selective embolisation. If possible, severe renal bleeding should be treated with selective embolisation as an alternative to surgery. Any suspected involvement of the PCS should undergo retrograde ureteropyelography and urinary diversion.",
keywords = "Adult, Embolization, Therapeutic, Female, Hematoma, Hematuria, Humans, Kidney, Radiography, Retroperitoneal Space, Wounds, Nonpenetrating, Case Reports, Journal Article",
author = "Wendler, {Johann Jakob} and Julian J{\"u}rgens and Martin Schostak and Uwe-Bernd Liehr",
note = "2015 BMJ Publishing Group Ltd.",
year = "2015",
month = mar,
day = "5",
doi = "10.1136/bcr-2014-208303",
language = "English",
volume = "2015",
journal = "BMJ CASE REP",
issn = "1757-790X",
publisher = "BMJ PUBLISHING GROUP",

}

RIS

TY - JOUR

T1 - Traumatically shattered kidney without urine extravasation or vascular amputation

AU - Wendler, Johann Jakob

AU - Jürgens, Julian

AU - Schostak, Martin

AU - Liehr, Uwe-Bernd

N1 - 2015 BMJ Publishing Group Ltd.

PY - 2015/3/5

Y1 - 2015/3/5

N2 - The American Association for the Surgery of Trauma (AAST) injury scoring scale is commonly used for genitourinary injuries. Normally, grade 4-5 lacerations of the kidney show involvement of the pelvicalyceal system (PCS) with urine extravasation (UE). We present a case of a 41-year-old woman who was hospitalised with macrohaematuria and retroperitoneal haematoma after severe blunt acceleration flank trauma. CT scan showed an extended laceration of the left kidney with separation of upper pole. This is the first case of an extended kidney laceration without UE due to rupture within the dichotomous PCS, which healed up after selective embolisation. If possible, severe renal bleeding should be treated with selective embolisation as an alternative to surgery. Any suspected involvement of the PCS should undergo retrograde ureteropyelography and urinary diversion.

AB - The American Association for the Surgery of Trauma (AAST) injury scoring scale is commonly used for genitourinary injuries. Normally, grade 4-5 lacerations of the kidney show involvement of the pelvicalyceal system (PCS) with urine extravasation (UE). We present a case of a 41-year-old woman who was hospitalised with macrohaematuria and retroperitoneal haematoma after severe blunt acceleration flank trauma. CT scan showed an extended laceration of the left kidney with separation of upper pole. This is the first case of an extended kidney laceration without UE due to rupture within the dichotomous PCS, which healed up after selective embolisation. If possible, severe renal bleeding should be treated with selective embolisation as an alternative to surgery. Any suspected involvement of the PCS should undergo retrograde ureteropyelography and urinary diversion.

KW - Adult

KW - Embolization, Therapeutic

KW - Female

KW - Hematoma

KW - Hematuria

KW - Humans

KW - Kidney

KW - Radiography

KW - Retroperitoneal Space

KW - Wounds, Nonpenetrating

KW - Case Reports

KW - Journal Article

U2 - 10.1136/bcr-2014-208303

DO - 10.1136/bcr-2014-208303

M3 - SCORING: Journal article

C2 - 25743865

VL - 2015

JO - BMJ CASE REP

JF - BMJ CASE REP

SN - 1757-790X

ER -