Traumatic injury of an ectopic kidney with iatrogenic ureteral injury and endovascular control of aberrant renal vessel

The management of traumatic injuries in patients with ectopic kidneys presents special challenges. There is a paucity of literature regarding optimal strategies for renal salvage. We describe a case of a patient who presented in hemorrhagic shock after a motor vehicle collision. On initial operative...

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Published inUrology case reports Vol. 52; p. 102645
Main Authors Zebley, James A, Mohamed, Troy, Azari, Sarah, Helbig, Michael, Sarani, Babak, Stein, Daniel
Format Journal Article
LanguageEnglish
Published United States Elsevier 01.01.2024
Subjects
Ectopic kidney
Renal salvage
Trauma
Trauma and Reconstruction
Ectopic kidney
Trauma
Renal salvage
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Summary:The management of traumatic injuries in patients with ectopic kidneys presents special challenges. There is a paucity of literature regarding optimal strategies for renal salvage. We describe a case of a patient who presented in hemorrhagic shock after a motor vehicle collision. On initial operative exploration, he was found to have a large retroperitoneal mass. Subsequent imaging demonstrated a large retroperitoneal hematoma and an ectopic kidney. The patient was successfully treated with a combination of open renorrhaphy and endovascular angioembolization. This case demonstrates the importance of a multidisciplinary approach to treating these complex injuries.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2023.102645