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[Glass foreign body in the kidney]
Urologiia (Moscow, Russia : 1999)
|July 25, 2006
Summary
A rare case of a penetrating glass foreign body in the left kidney is presented. Surgical removal led to complete recovery of renal function, highlighting the importance of thorough diagnosis.
Area of Science:
- Urology
- Trauma Surgery
- Nephrology
Background:
- Penetrating injuries to the kidney are uncommon.
- Foreign bodies, particularly glass, pose unique diagnostic and management challenges.
- Delayed presentation of intrarenal foreign bodies can lead to significant complications.
Observation:
- A 25-year-old male sustained a left lumbar injury from window glass.
- An initial outpatient removal of a large glass fragment missed a smaller fragment penetrating the left kidney.
- Two months post-injury, the patient presented with hematuria, pain, and decreased left kidney function.
Findings:
- Echography and X-ray confirmed a glass foreign body within the left kidney's upper parenchyma, extending into the calyx and pelvis.
- Surgical intervention via lumbotomy and pyelotomy successfully removed the 6.2x0.8x0.3 cm glass fragment.
- Histopathological examination confirmed the foreign body's composition.
Implications:
- This case underscores the necessity for comprehensive imaging and high suspicion in cases of penetrating lumbar trauma.
- Prompt and complete removal of intrarenal foreign bodies is crucial for preserving renal function.
- Successful management highlights the efficacy of surgical intervention in complex urological trauma cases.