Professional paper
A Giant Hydronephrotic Kidney with Ureteropelvic Junction Obstruction with Blunt Renal Trauma in a Boy
Junya Tsurukiri
orcid.org/0000-0002-0384-1695
; Emergency and Critical Care Medicine Tokyo Medical University Hachioji Medical Center 1163 Tatemachi, Hachioji Tokyo 193-0998, Japan
Hidefumi Sano
; Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
Yosuke Tanaka
; Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
Takao Sato
; Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
Abstract
An 18-year-old male soccer player was transferred from the clinic to our emergency center with suspected blunt renal trauma. A giant ureteropelvic junction (UPJ) obstructed hydronephrosis in blunt renal trauma was revealed by enhanced computed tomography and angiography. The patient then underwent insertion of a double “J” stent and was placed under close observation in the intensive care unit. His improvement was rapid, and he subsequently underwent pyeloplasty. Although UPJ obstruction is one of the common pre-existing renal lesions (PERLs), hydronephrosis of such a giant size, associated with blunt trauma, is relatively rare. Hydronephrosis in the kidneys may easily lead to rupture, even with minor trauma.
Keywords
injury; hydronephrosis; urine; angiography; pyeloplasty
Hrčak ID:
140724
URI
Publication date:
1.4.2015.
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