Traumatic Rupture of Horseshoe Kidney

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.

Experience of renal artery embolization in patients with blunt kidney trauma

“…The RAE could be used successfully even in the cases of anatomically abnormal kidney injury. Molina Escudero R. et al in 2012 reported about effective use of 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 horseshoe kidney pole [ 13 ].…”

Traumatic Blunt Force Renal Injury in a Diseased Horseshoe Kidney with Successful Embolization to Treat Active Bleeding: A Case Report and Literature Review

“…The present patient appears to be only the eighth reported case of blunt force injury to a horseshoe kidney and the fifth with nonoperative management. The details of our search of the English language literature on the various types of management and outcomes of blunt force-injured horseshoe kidneys are shown in Table 1 [7][8][9][10][11][12][13]. The average age of blunt force injury to a horseshoe kidney patients was 31.75 years, and this occurred more commonly in male patients (7/8, 87.5%).…”

“…Blunt force injury to this anomalous kidney is challenging with regard to nonoperative management, especially if it is a high-grade injury with active bleeding. From the literature review of blunt force horseshoe kidney injury, the average age is 31.75 years and occurred more common in male (87.5%) [7][8][9][10][11][12][13].…”

Blunt abdominal trauma. Kidneys injury. Part 3

“…Следует отметить, что патологически измененная почка легче травмиру-ется, поэтому анамнез жизни должен быть собран. Считают [24,37], что почка с гидронефротической трансформацией, кистами, конкрементами, опухо-лью повреждается уже при минимальной травме, сообщения о травме подковообразной почки также не являются казуистикой [45,73,86].…”

“…Необходимо отметить, что лечение травмы под-ковообразной почки проводится аналогично, с ис-пользованием консервативной терапии [86], эндо-васкулярной эмболизации [31,73,103], открытой операции [45].…”