Citation

Molina Escudero R, Cancho Gil MJ, Husillos Alonso A, Lledó García E, Herranz Amo F, Ogaya Piniés G, Ramón Botella E, Simó G, Navas Martínez MC, Hernández Fernández C. Urol Int 2012; 88(1): 112-114.

Affiliation

Department of Urology, Hospital General Universitario Gregorio Marañón, Madrid, Spain. robersescu @ hotmail.com

Copyright

(Copyright © 2012)

DOI

10.1159/000330800

PMID

21934278

Abstract

We present the case of a 25-year-old male who came to the emergency room for pain and abdominal distension following trauma to the mesogastrium. A CT scan was performed, revealing a voluminous retroperitoneal hematoma with laceration of both inferior renal poles with regard to rupture of the isthmus of a horseshoe kidney. The patient presented anemization and increased pain, requiring selective embolization by means of arteriography of a branch of the right renal artery and placement of a double J stent due to urinary extravasation in the lower left kidney pole. Following 1 year of monitoring, the patient has maintained normal renal function. Renal affection in blunt abdominal trauma is frequent, occurring in 7% of previously pathological kidneys. The traumatic rupture of horseshoe kidney is facilitated by its particular anatomical characteristics, constituting an infrequent entity, knowledge of which is necessary to achieve conservative management that renders it possible to preserve renal function.

Copyright © 2011 S. Karger AG, Basel.

Language: en