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Case Report

Open Access

A Giant Hydronephrotic Kidney with Ureteropelvic Junction Obstruction with Blunt Renal Trauma in a Boy

  • JUNYA TSURUKIRI1
  • HIDEFUMI SANO1
  • YOSUKE TANAKA1
  • TAKAO SATO1
  • HIROKAZU TAGUCHI2

1Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center

2Critical Care and Emergency Medicine, Osaka City University Graduate School of Medicine

DOI: 10.22514/SV101.042015.10 Vol.10,Issue 1,April 2015 pp.110-114

Published: 30 April 2015

*Corresponding Author(s): JUNYA TSURUKIRI E-mail: junya99@tokyo-med.ac.jp

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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

Cite and Share

JUNYA TSURUKIRI,HIDEFUMI SANO,YOSUKE TANAKA,TAKAO SATO,HIROKAZU TAGUCHI. A Giant Hydronephrotic Kidney with Ureteropelvic Junction Obstruction with Blunt Renal Trauma in a Boy. Signa Vitae. 2015. 10(1);110-114.

URL:

https://www.signavitae.com/articles/10.22514/SV101.042015.10

References

1. Onen A, Kaya M, Cigdem MK, Otçu S, Oztürk H, Dokucu AI. Blunt renal trauma in child with previously undiagnosed pre-existing renal lesions and guidelines for effective initial management of kidney injury. BJU Int 2002;89:936-41.

2. Fernbach S. Congenital renal anomalies. In: Kuhn JP, Slovis TL, Haller JO, editors. Caffey’s Pediatric Diagnostic Imaging. 10th ed. Philadelphia: Mosby; 2004. p. 1759-86.

3. Boone TB, Gikking PJ, Husmann DA. Ureteropelvic junction disruption following blunt abdominal trauma. J Urol 1993;150:33-6.

4. White MA, Kepros JP, Zuckerman LJ. Bilateral partial ureteropelvic junction disruption after blunt trauma treated with indwelling ureteral stents. Urology 2007;69:384.

5. Schmidlin FR, Schmid P, Kurtyka T, Iselin CE, Graber P. Force transmission and stress distribution in a computer-stimulated model of the kidney: an analysis of the injury mechanism in renal trauma. J Trauma 1996;40:791-6.

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