Presentation
In the present study, the clinical presentations and conservative treatment of a SRH following a failed UHL procedure in a young male patient were discussed. [spandidos-publications.com]
Bladder cancer presenting with spontaneous subcapsular urinoma of kidney Department of Urology, C. S. M. [indianjcancer.com]
Case presentation A 50-year-old Greek man presented at our Accidents and Emergency Department with acute right flank pain and gross hematuria of three-hour duration. [jmedicalcasereports.biomedcentral.com]
5 Renal papillary necrosis most often presents with hematuria. [aafp.org]
Two days before presentation, he developed a fever with chills. He reported no recent dysuria, diarrhea, hematuria, hematochezia, or melena. [mdedge.com]
Entire Body System
- Sepsis
Early goal-directed therapy in the treatment of severe sepsis and septic shock. الصفحة 321 - Katayama H, Yamaguchi K, Kozuka T, Takashima T, Seez P, Matsuura K. [books.google.com]
All measures should be taken to prevent urosepsis following the procedure. 13 Prevention of sepsis following urological procedures in spinal cord injury patients This patient developed features of sepsis immediately after the third ureteroscopy despite [dovepress.com]
Persistent extravasation or signs of sepsis usually require intervention. In general, urinary extravasation resolves spontaneously in the majority of patients with blunt trauma. [emedicine.medscape.com]
Gastrointestinal
- Right Flank Pain
Keywords Ultrasound FAST Trauma Renal cyst rupture Emergency Case report A 79-year-old man presented to the emergency department complaining of right flank pain after falling down two stairs. [criticalultrasoundjournal.springeropen.com]
Case presentation A 50-year-old Greek man presented at our Accidents and Emergency Department with acute right flank pain and gross hematuria of three-hour duration. [jmedicalcasereports.biomedcentral.com]
Case description A 46-year-old man was referred to hospital after vomiting and sudden onset of severe right flank pain. He was on chronic haemodialysis for 8 years because of end-stage renal failure. [academic.oup.com]
- Left Flank Pain
This 78-year-old man, receiving Coumadin therapy for cardiac problems, fell and developed left flank pain and discoloration. [barnardhealth.us]
Case 1 A 63-year-old male patient was admitted to the hospital with the complaint of sudden onset left flank pain. The patient’s medical history revealed presence of diabetes mellitus (DM) and hypertension (HT). [omicsonline.org]
Cardiovascular
- Hypertension
After he underwent a nephrectomy, his hypertension resolved. In 2005, Vanegas and colleagues 9 attributed hypertension in Page kidney to inflammatory damage caused by the external compression of the kidney. [consultant360.com]
On the first postoperative day, she developed a headache and was noted to be hypertensive. She was therefore started on labetalol. [journals.lww.com]
Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it. Get My Free Ebook [barnardhealth.us]
In this case, however, the large SRH was mostly absorbed after six months and no evident hypertension or renal failure occurred. [spandidos-publications.com]
Complications Complications affect ~7.5% (range 3-10%) of renal injuries 4,5 : urinoma (most common) delayed bleeding (within 1-2 weeks of injury) urinary fistula perinephric abscess hypertension from renal artery injury hydronephrosis pyelonephritis [radiopaedia.org]
Musculoskeletal
- Fracture
Renal Trauma Renal Fracture and Renal Laceration Incidence Up to 10% of injuries coming to emergency room with blunt trauma Causes Motor vehicle accident Contact sports Falls and fights Less often penetrating wounds Mechanism Direct blow (>80%) frequently [learningradiology.com]
Delayed CT images following contrast show a fractured right kidney and extravasation of urine (U) into perinephric space in this patient s/p severe blunt trauma from MVC. [med-ed.virginia.edu]
[…] as indications for oral and IV contrast in abdominal CT and MRI versus CT for occult hip injury; high-risk pathology that can be missed by routine diagnostic imaging - including subarachnoid hemorrhage, bowel injury, mesenteric ischemia, and scaphoid fractures [books.google.com]
[…] chest and lower abdomen Significant deceleration injury Direct blow to the flank In such patients, hematuria strongly suggests renal injury; other indicators include the following: Seat belt marks Diffuse abdominal tenderness Flank contusions Lower rib fractures [merckmanuals.com]
( > 3 ribs) Fracture Bilateral flail chest ( > 3 ribs on both sides) 807.4 3-4 V Fracture 807.4 5 *This scale is confined to the chest wall alone and does not reflect associated internal or abdominal injuries. [aast.org]
Neurologic
- Dizziness
Symptoms associated with bleeding include worsening abdominal pain, dizziness, feeling faint, rapid heart beat, shortness of breath, weakness, recurrence of blood in the urine, or an inability to urinate. [1pdf.net]
Urogenital
- Hematuria
25% of patients with gross hematuria have significant injuries But, 24% of patients with renal pedicle injury have no hematuria Only 1-2% with microhematuria have a severe renal injury Types of injuries CT Classification of Renal Trauma CT Grade Injury [learningradiology.com]
Patients require strict bed rest until gross hematuria has resolved. [merckmanuals.com]
5 Renal papillary necrosis most often presents with hematuria. [aafp.org]
Hematuria is also managed conservatively with bedrest and intravenous hydration, and most episodes of hematuria are self-limiting and last 2 to 7 days. [mdedge.com]
The lack of hematuria does not exclude severe renal trauma. [urology-textbook.com]
- Flank Pain
[…] dilated renal pelvis at the level of the proximal ureter Congenital ureterovesical junction obstruction Asymptomatic or intermittent flank pain Ultrasonography Hydronephrosis, megaureter Renal cell carcinoma Triad of flank pain, gross hematuria, and [aafp.org]
Flank pain results from hemorrhage into a cyst with consequent distention of the renal capsule, whereas hematuria results from rupture of a cyst into the collecting system. [mdedge.com]
The affected patients present to emergency departments with the symptoms and sings comprising sudden onset flank pain, abdominal tenderness and hematuria. [omicsonline.org]
Keywords Ultrasound FAST Trauma Renal cyst rupture Emergency Case report A 79-year-old man presented to the emergency department complaining of right flank pain after falling down two stairs. [criticalultrasoundjournal.springeropen.com]
Fever, dropping blood count or flank pain are indications for repeated imaging (ultrasonography or CT). [urology-textbook.com]
- Microscopic Hematuria
Patients with blunt trauma and microscopic hematuria usually have minor renal injuries that almost never require surgical repair; thus, CT is usually unnecessary. [merckmanuals.com]
It can be gross hematuria in which it can be seen by the naked eye or microscopic hematuria, in which the blood cells can only be seen on microscopic evaluation of the urine. [autoaccident.com]
- Macroscopic Hematuria
Patients tend to present with microscopic or macroscopic hematuria and flank and/or abdominal pain. In more severe cases, hypotension and shock may be present. [radiopaedia.org]
- Kidney Failure
SLH may lead to life threatening complications such as disseminated intravascular coagulation (DIC), acute liver, and kidney failure due to hepatic rupture. We discuss the SLH secondary to severe pre-eclampsia and review the literature. [casereports.in]
Workup
The initial workup for stage 3 chronic kidney disease revealed renovascular disease with mild hypertension, secondary hyperparathyroidism, and a urine protein-to-creatinine ratio of 644 mg/g. [consultant360.com]
However, anuria, though may be a late sign, should trigger complete and emergent workup that includes ultrasound of any suspected swelling in the vicinity of the transplanted renal graft, besides renal scan of the graft in order to rule out thrombosis [sjkdt.org]
Treatment
Holmium laser lithotripsy (PowerSuite 60 W; Lumenis, Inc., San Jose, CA, USA) under a rigid ureteroscope was recommended for treatment. [spandidos-publications.com]
Treatment There are two main types of treatment for a ruptured spleen: Surgical intervention and observation. Many people with a ruptured spleen experience serious bleeding that requires immediate surgery on the abdomen. [medicalnewstoday.com]
Treatment [ edit ] Treatment varies according to severity, ranging from monitoring of the hematoma (in haemodynamic stability) to emergency surgery (when patients develop hypovolemic shock requiring seminephrectomy or nephrectomy ). [en.wikipedia.org]
Articles include: Treatment of Aortic Aneurysms; Bariatric Surgical Procedures, Repeat Cesarean Deliveries; Thoracic and Cardiovascular Surgery; Abdominal and Pelvic Viscera; Abdominal, Pelvic Surgical and Post-procedural Foreign Bodies; Thorax; Kidneys [books.google.com]
Treatment and prognosis Treatment depends on the specific trauma and complications present. [radiopaedia.org]
Prognosis
Treatment and prognosis Treatment depends on the specific trauma and complications present. [radiopaedia.org]
Spontaneous subcapsular hemorrhage in the liver is an uncommon condition associated with a poor prognosis. We report a case of a renal transplant recipient developing a spontaneous subcapsular hematoma of the liver. [journals.lww.com]
No contrast blush or hemoperitoneum Because of the absence of hemoperitoneum or active bleeding, this patient has a good prognosis and will be managed non-operatively. Splenic injury. [radiologyassistant.nl]
Etiology
The main determinants in the treatment are patient’s hemodynamic status and the etiology. [omicsonline.org]
Regardless of the etiology, however, the selection of a minimally invasive approach, like arterial embolization, resulted in preservation of both renal units and an uneventful recovery. [jmedicalcasereports.biomedcentral.com]
Other etiologies include rupture of renal artery or an arteriovenous malformation, polyarteritis nodosa, cystic medial necrosis, segmental arterial mediolysis, and cystic rupture.Few case series suggested angiomyolipoma as the most common cause. [ citation [en.wikipedia.org]
Etiology Blunt trauma from motor vehicle collisions, falls, and personal collisions are the leading cause of renal injury (~85%), the mechanism is from deceleration injuries from a collision of the kidney with the vertebral column or thoracic cage. [radiopaedia.org]
Bleeding abnormalities are common in patients with end-stage renal disease, and the etiology of uremic bleeding in these patients is multifactorial, involving all three steps of hemostasis: platelet adhesion, granule release, and platelet aggregation. [consultant360.com]
Epidemiology
Epidemiology of renal trauma: In blunt abdominal trauma, up to 40% present with renal injury. In urban areas, 80% of renal injuries occur in the context of polytrauma. In ski resorts, 2/3 of renal injuries are due to skiing accidents. [urology-textbook.com]
Pathophysiology
In year 1976, Twersky et al. reported the first case of urinoma caused by a bladder tumor. [4] Second patient had a high-grade bladder tumor with ureteric orifice involvement. [3] The pathophysiology of forniceal rupture caused by bladder tumor is difficult [indianjcancer.com]
Prevention
All of the subject areas tested on the boards are represented, including basic science and general procedures; health promotion and preventive aspects; emergency assessment and care; and diagnosis, management, and treatment of the full range of sports-related [books.google.com]
Prevention of subcapsular hematoma To prevent subcapsular hematoma, Bai et al 5 suggested ureteroscopy should be performed under low pressure. [dovepress.com]
Today, the widespread availability of abdominal CT scans, renal ultrasonography, and magnetic resonance imaging (MRI) have made an accurate preoperative diagnosis possible in many centers, thereby preventing unnecessary nephrectomies. [consultant360.com]
The decrease in immune activity following a splenectomy can lead to an increased risk of infection, so extra precautions should be taken to prevent infections. [medicalnewstoday.com]