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Delayed Management of High-Grade Renal Trauma in a Child with Bilateral Lower Polar Artery: A Case Report

¹ Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal
² Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal
³ Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal
⁴ Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal
⁵ Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal
⁶ Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal
⁷ Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal
⁸ Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal
⁹ Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal

Open Journal of Urology·Volume 12 (2022)·Pages 556–562·Published 17 November 2022·DOI10.4236/oju.2022.1211055

Abstract

High-grade renal trauma rarely occurs due to low-velocity mechanisms. With its clinical presentation, delayed diagnosis rarely happens. We report the case of a 12-year-old girl diagnosed seven days post-trauma with grade IV renal trauma complicated with infected urinoma and bilateral lower polar vessels. She was non-operatively managed with ultrasound-guided percutaneous drainage of the urinoma, which resolved, and had unremarkable six months follow-up. We discuss the role of preexistent hydronephrosis in low-velocity impact, pitfalls of diagnosis in resource-constrained settings, and management of high-grade trauma.

KeywordsRenal TraumaLower Polar ArteryUrinomaDelayed DiagnosisCase Report

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Delayed Management of High-Grade Renal Trauma in a Child with Bilateral Lower Polar Artery: A Case Report

Abstract

References (8)