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J Trauma Inj > Volume 30(2); 2017 > Article
Journal of Trauma and Injury 2017;30(2):47-50.
DOI: https://doi.org/10.20408/jti.2017.30.2.47    Published online June 30, 2017.
Hydronephrosis during Conservative Treatment for a Renal Injury Patient
Maru Kim, Joongsuck Kim, Sung Jeep Kim, Hang Joo Cho
1Department of Trauma Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. maru@catholic.ac.kr
2Department of Trauma Surgery, Cheju Halla General Hospital, Jeju, Korea.
Received: 5 January 2017   • Revised: 12 January 2017   • Accepted: 12 January 2017
Abstract
A 21-year-old male visited our emergency room. He could not remember the mechanism of injury. He was found beside a motorcycle. Initial vital sign was stable. Observation and conservative treatment were planned at the intensive care unit (ICU). On the third day at ICU, he complained sudden flank pain. It was colicky and hard to control. Without the pain, he had no specific symptom, sign, or laboratory findings. On computed tomography, renal pelvis was filled with hematoma which induced hydronephrosis. Double-J catheter and percutaneous nephrostomy was implemented by an intervention radiologist. Hematome in the renal pelvis was aspirated during the procedure. Symptom of the patient was subsided after the procedure. He was discharged without specific complications.
Key Words: Hydronephrosis; Hematoma; Wounds and injuries
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