Challenging case of horseshoe kidney double fracture
| Autor: | Luca Lepre, Pietro Fransvea, Gabriele Sganga, Francesco Cortese, Roberto Marcello, Aldo Gioffre, Alessandra Saputelli |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Kidney
medicine.medical_specialty Horseshoe kidney business.industry Urinary system Renal function food and beverages 030208 emergency & critical care medicine medicine.disease Renal anatomy Article 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine Blunt medicine.anatomical_structure Renal trauma Medicine Abnormality business Grading (tumors) |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • The incidence of horseshoe kidney in the general Population is 0.25%. • It is twice as common in men as in women. • Early diagnosis and management can lead to a successful outcome preserving renal fuction. Introduction Renal injuries occur in 10% of blunt abdominal traumas, 7% of these occur in kidneys with congenital or acquired disorders. Trauma of horseshoe kidney is an uncommon finding. Presentation of a case We present the case of 31 year-old caucasian man with no remarkable personal records, who was brought to our Trauma Unit soon after being involved in a motorcycle collision. A Contrast Enhanced – Multi Detector Computed Tomography (ce-MDCT) revealed a double disconnection of a horseshoe kidney. The patient was not aware of bearing such abnormality. Discussion Trauma of horseshoe kidney is an uncommon finding. The abdominal ce-MDCT scan is the diagnostic tool of choice since the renal anatomy, injury grading and vascular or urinary tract abnormalities are well depicted and easily identified. The conservative management of these injuries is associated with a lower rate of nephrectomies and kidney failure while selective trans-catheter renal embolization is a challenging treatment option. However surgery can be a treatment of choice and should be aimed to preserve renal function. Conclusion: the interest in our case lies in the rarity and particular anatomical aspect of such injuries and the implication related to its management in an emergency setting. |
| Databáze: | OpenAIRE |
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