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Emergency Radical Nephrectomy in a Polytrauma Patient
María Negueroles-García1, Francisco Pastor-Hernández1, José María Martínez-Jabaloyas1
1Servicio de Urología, Hospital Clínico Universitario de Valencia, Facultat de Medicina i Odontología, Universitat de València, Valencia, España.
Archivos Espanoles De Urologia
|November 4, 2022
Summary
Renal trauma from a metal stick is rare and often requires immediate surgery. This case highlights the necessity of prompt surgical intervention, including radical nephrectomy, when conservative treatment for severe kidney injury is not feasible.
Area of Science:
- Trauma Surgery
- Urology
- Emergency Medicine
Background:
- Renal trauma occurs in 5% of all trauma cases.
- Conservative management is common for most renal injuries.
- This case involves a rare cause of renal trauma: a metal stick injury.
Observation:
- A 69-year-old male presented with polytrauma.
- Imaging revealed suspected renal, intestinal, and great vessel injuries.
- Urgent surgical intervention was deemed necessary.
Findings:
- The patient underwent exploratory laparotomy and radical nephrectomy.
- The right kidney was perforated by a metal stick.
- This necessitated the removal of the kidney due to irreversible damage.
Implications:
- Severe renal trauma may require radical nephrectomy.
- Prompt surgical decision-making is critical in life-threatening trauma.
- This case underscores the importance of considering surgical options beyond conservative management for renal injuries.
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