tailieunhanh - Báo cáo y học: "Conservative management of a grade V injury to an ectopic pelvic kidney following blunt trauma to the lower abdomen: a case report"

Tham khảo luận văn - đề án 'báo cáo y học: "conservative management of a grade v injury to an ectopic pelvic kidney following blunt trauma to the lower abdomen: a case report"', luận văn - báo cáo phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Becker et al. Journal of Medical Case Reports 2010 4 224 http content 4 1 224 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Conservative management of a grade V injury to an ectopic pelvic kidney following blunt trauma to the lower abdomen a case report Aaron B Becker Mirza B Baig Adam M Becker Abstract Introduction Ectopic pelvic kidneys represent an anatomic variant that remains clinically asymptomatic in most patients. While there is some literature to suggest that ectopic kidneys may be more predisposed to blunt trauma injuries there are few examples to guide the management of these injuries. To our knowledge we present the first case of a grade V renal injury to an ectopic pelvic kidney managed successfully with conservative measures. Case Presentation We present a case of grade V renal injury to an ectopic pelvic kidney in a 21 year-old African-American male. The clinical and radiographic findings are presented along with the patient s conservative hospital course. Conclusion We suggest that management of grade V renal injuries to ectopic pelvic kidneys can be treated similarly to that of kidneys in normal anatomic position. Conservative measures may be considered in properly selected patients. Introduction Ectopic pelvic kidneys occur with a reported incidence of between 1 in 500 to 1 in 1200. Although pelvic kidneys are associated with anomalies including hydronephrosis and vesicoureteral reflux most are clinically asymptomatic 1 . Pelvic kidneys are however more prone to blunt trauma injury 2 . Little literature exists regarding the optimal management of blunt trauma injury in ectopic pelvic kidneys. We report a case of a grade V renal injury to an ectopic pelvic kidney managed successfully with conservative measures. Case Presentation A 21 year-old African-American male presented to the emergency room with complaints of right-sided abdominal pain and gross hematuria following blunt trauma to the abdomen. The .