Hellenic Urology

CASE REPORT
Year
: 2020  |  Volume : 32  |  Issue : 4  |  Page : 167--169

Conservative management of hemodynamically stable patient with grade V renal trauma: Case presentation and review of the literature


Charalampos Fragkoulis, Ioannis Glykas, Dimitrios Moschotzopoulos, Odysseas Aristas, Georgios Papadopoulos, Georgios Stathouros, Konstantinos Ntoumas 
 Department of Urology, General Hospital of Athens G.N.A. “G. Gennimatas,” Athens, Greece

Correspondence Address:
Charalampos Fragkoulis
Thessalias 24b Street, Kato Halandri, Athens
Greece

Renal trauma is a major health problem involving mostly young patients. It is estimated that renal trauma is diagnosed in almost 5% of all trauma patients. Patients diagnosed with Grade V renal trauma require surgical intervention and usually nephrectomy. The aim of this study is to present a case of Grade V renal trauma in a hemodynamically stable patient treated conservatively in our department. A 24-year-old male was admitted to the urology department due to Grade V left renal trauma after a motor accident. The patient presented with hematuria and was hemodynamically stable. A conservative approach was performed with close monitoring of hemodynamic status. Two red blood cells units was transfused. The patient remained hemodynamically stable and renal hematoma reduced in size in follow-up computed tomography. The patient was discharged in excellent clinical status after 17 days of hospitalization. Although Grade V renal trauma involving vascular injury requires immediate surgical intervention, in selected patients diagnosed with shattered kidney, a conservative approach may be successful provided that the patient remains hemodynamically stable and under close monitoring. Hemodynamic instability is an absolute indication for surgical exploration and possible nephrectomy.


How to cite this article:
Fragkoulis C, Glykas I, Moschotzopoulos D, Aristas O, Papadopoulos G, Stathouros G, Ntoumas K. Conservative management of hemodynamically stable patient with grade V renal trauma: Case presentation and review of the literature.Hellenic Urology 2020;32:167-169


How to cite this URL:
Fragkoulis C, Glykas I, Moschotzopoulos D, Aristas O, Papadopoulos G, Stathouros G, Ntoumas K. Conservative management of hemodynamically stable patient with grade V renal trauma: Case presentation and review of the literature. Hellenic Urology [serial online] 2020 [cited 2022 May 22 ];32:167-169
Available from: http://www.hellenicurologyjournal.com/article.asp?issn=2241-9136;year=2020;volume=32;issue=4;spage=167;epage=169;aulast=Fragkoulis;type=0