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Delayed Partial Nephrectomy for Hydronephrosis After Renal Trauma

Shaan Setia1, Jessica Nicole Jackson1, C D Anthony Herndon1

  • 1University of Virginia, Charlottesville, VA.

Urology
|October 22, 2016
PubMed

Insights

Delayed complications from conservative renal trauma management in children are rare. This case highlights a unique instance of a 16-year-old requiring robotic partial nephrectomy two years after initial nonoperative treatment for high-grade renal injury.

Area of Science:

  • Pediatric Urology
  • Trauma Surgery
  • Nephrology

Background:

  • Conservative management is standard for pediatric renal trauma.
  • Delayed sequelae are uncommon but can occur.
  • Surgical intervention for these delayed issues is even rarer.

Observation:

  • A 16-year-old male presented with recurrent infections and upper urinary tract obstruction.
  • These symptoms developed two years after conservative management of high-grade renal trauma.
  • The patient had no prior history of similar complications.

Findings:

  • The case details delayed hydronephrosis and recurrent pyelonephritis post-conservative renal trauma care.
  • Robotic-assisted partial nephrectomy was successfully performed.
  • This represents the first reported case of delayed partial nephrectomy over a year after initial nonoperative management for renal trauma.

Implications:

  • Highlights the potential for late-onset complications after conservative renal trauma management in pediatric patients.
  • Suggests the need for long-term surveillance in select pediatric renal trauma cases.
  • Demonstrates the feasibility of robotic-assisted partial nephrectomy for managing delayed sequelae.

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