J Trauma Inj.
2022 Aug;35(Suppl 1):S18-S22. 10.20408/jti.2021.0091.
Salvation of a solitary kidney in a patient with grade IV renal trauma: a case report
- Affiliations
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- 1Department of Emergency Medicine, Gyeongsang National University College of Medicine, Jinju, Korea
- 2Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
- KMID: 2540380
- DOI: http://doi.org/10.20408/jti.2021.0091
Abstract
- There are many reasons for solitary kidney. Congenital causes include renal agenesis and dysplasia. Acquired causes include nephrectomy performed for reasons including traumatic kidney injury, disease (e.g., renal cell carcinoma), and donation for kidney transplantation. According to the European Association of Urology, the World Society of Emergency Surgery, and the American Association for the Surgery of Trauma guidelines, it is important to preserve the remaining renal function as much as possible when a solitary kidney patient has suffered a traumatic kidney injury. The authors present a case of kidney preservation in a solitary kidney patient with a traumatic grade IV renal injury through non-operative management involving superselective renal artery angioembolization.
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