Posterior Reversible Encephalopathy Syndrome Following Failure of Conservative Management in Renal Trauma: Case Report

Blunt renal trauma is relatively common in children. Conservative management has become the mainstay of treatment. A 4-year-old boy presented following a fall onto his right abdomen resulting in renal trauma. Initial conservative management was followed by complete embolization of the kidney. The re...

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Bibliographic Details
Published inUrology (Ridgewood, N.J.) Vol. 145; pp. 247 - 249
Main Authors Daly, William C., Reynolds, Thomas, Tanzer, Marie, Chalmers, David J.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2020
Subjects
Child, Preschool
Conservative Treatment
Humans
Kidney - injuries
Male
Posterior Leukoencephalopathy Syndrome - etiology
Treatment Failure
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - therapy
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Summary:Blunt renal trauma is relatively common in children. Conservative management has become the mainstay of treatment. A 4-year-old boy presented following a fall onto his right abdomen resulting in renal trauma. Initial conservative management was followed by complete embolization of the kidney. The resulting continued hypertension, as well as endothelial disruption, resulted in PRES as manifested by a single instance of generalized seizure. The patient regained normal neurological function following nephrectomy. Better understanding of the potential for acute hypertensive crisis resulting in PRES in the urology community may result in more urgent and effective management in these scenarios.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2020.05.059