Trauma Of Pathological Kidney About 13 Cases And Literature Review
Mohammed Asseban, Adil Mazdar, Hamade Moutih, Hachem El Sayegh, Ali Iken, Lounis Benslimane, Yassine Nouini
Key words : Renal injury; Pathological kidney; Diagnosis; Conservative treatment; Etiological treatment.
Abstract: The aim of this work is to record the acquired or congenital uropathy diagnosed during kidney injury and to evaluate their diagnostic, prognostic and therapeutic aspects. We report a retrospective study of 13 cases (14%) of renal trauma on pathological kidney from a total of 93 observations of renal trauma collected at Department of Urology A in the University Hospital Ibn Sina Rabat , between January 2002 and January 2014. It is often a road accident in 8 cases (61,5%). The underlying uropathy is dominated by urolithiasis in 6 cases (46,1%); pelvi-ureteric junction in 3 cases (23,1%), followed by kidney tumors in 2 cases (15,4%), and cystic kidney disease in 2 cases (15,4%). Therapeutically, 2 patients (15,3%) were investigated in emergency for hemodynamic instability involving life-threatening. The other 11 cases received conservative attitude based on clinical and radiological monitoring by computed tomography (CT). The selective embolization of arterial lesions or drainage of the urinary tract were performed according to indication. Etiological treatment was performed after an average of 113 days. The therapeutic approach should be conservative. The current trend is to drain the urinary tract in the acute phase and then propose a late etiological treatment.
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