Künt Travmaya Bağlı İzole Böbrek Yaralanması: Olgu Sunumu

Böbrekler lokalizasyonları nedeniyle nadiren travmaya maruz kalır. Renal travma tüm travma başvurularının %3’ünü, abdominal travmaların ise %10’u oluşturur. Amacımız grade-5 böbrek yaralanması olup, konservatif tedavi edilen bir olguyu tartışmaktır. Bisiklet kazası nedeniyle görülen künt abdominal travmaya sekonder izole böbrek yaralanmasını rapor etmekteyiz. 36 yaşındaki erkek hasta bisiklet kazası sonrası bel bölgesine direkt travmayla gros hematüri ve sol flank ağrısıyla başvurdu. Hastaya bilgisayarlı tomografi ile grade-5 böbrek yaralanması (paramparça böbrek) tanısı konuldu. Hasta üroloji servisinde yatırıldı ve konservatif yaklaşımla tedavi edildi. Herhangibir komplikasyon gelişmeyen hasta taburcu edildi. Bu olgu ciddi böbrek travmasında konservatif yaklaşımın başarılı olabileceğini düşündürmektedir.

Anahtar Kelimeler:

Böbrek yaralanması, Travma, Konservatif yaklaşım

Isolated Renal Injury After Blunt Trauma: Case Report

The kidneys are rarely exposed to trauma by reason of localization. Renal trauma accounts for about 3% of all trauma admissions and as many as 10% of patients who experience abdominal trauma. Our aim is to discuss a case with grade-5 kidney injury which was treated as conservative management.We report a case of isolated renal injury secondary to blunt abdominal trauma which was occured because of a bycyle accident. A 36-year-old male presented with left flank pain and gross hematuria after a bycycle accident with a direct trauma to his loin. After a diagnosis with computed tomography (CT) it was releaved that shattered kidney (grade-5 kidney injury). The patient hospitalized in urology department and has been treated with conservative management. At the end of the treatment he was discharged without any complication. It is considered that conservative management may be succesful in severe renal trauma

Keywords:

Kidney injury, Trauma, Conservative management,

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