Renal Pelvis Injury in Case of Blunt Trauma Abdomen

Abstract

Isolated renal pelvis/upper ureteric injuries are uncommon in a case of blunt abdominal trauma. These injuries are associated with fractures of transverse process of the adjoining vertebrae. We report a case of such a case in a 35 year old male involved in road traffic accident. He underwent exploration and repair of the right UPJ/Upper ureteric injury. This case presented with injury to the transverse processes on the left side, which is unusual.

Isolated renal pelvis injury in case of penetrating injury

“…9 There are no straight forward directives for isolated renal pelvis or ureteric laceration. 10,11 Although in such cases, simple suturing may appear to be the appropriate management considerations of other injuries, need for diversion or drainage of the affected renal system, hemodynamic status. Wherever possible laparoscopic intervention brings its own set of advantages and should be employed as frequently as possible.…”

“…Attempt at primary repair failed due to fragile margin which necessitating harvest two thompson's renal capsular flap which were transposed anteriorly and posteriorly at renal pelvis injury over a 6 Fr double J stent (Figure 2 and Figure 3). 11 The patient had uneventful recovery.…”

Young Adult With Upper Abdominal Pain

“…Isolated renal pelvis injury is uncommon and associated with urolithiasis, iatrogenic injury, trauma, and neoplasm. [1][2][3] The injury is often associated with underlying congenital renal disease, typically unrecognized before the trauma. Ultrasonography is moderately sensitive and highly specific for renal injury, and is a useful initial diagnostic tool for patients with moderate pretest probability of injury.…”