Conservative management of a grade V injury to an ectopic pelvic kidney following blunt trauma to the lower abdomen: a case report.

Journal of Medical Case Reports
Aaron B BeckerAdam M Becker

Abstract

Ectopic pelvic kidneys represent an anatomic variant that remains clinically asymptomatic in most patients. While there is some literature to suggest that ectopic kidneys may be more predisposed to blunt trauma injuries, there are few examples to guide the management of these injuries. To our knowledge, we present the first case of a grade V renal injury to an ectopic pelvic kidney managed successfully with conservative measures. We present a case of grade V renal injury to an ectopic pelvic kidney in a 21 year-old African-American male. The clinical and radiographic findings are presented, along with the patient's conservative hospital course. We suggest that management of grade V renal injuries to ectopic pelvic kidneys can be treated similarly to that of kidneys in normal anatomic position. Conservative measures may be considered in properly selected patients.

References

Apr 1, 1991·AJR. American Journal of Roentgenology·R B JeffreyE W Olcott
May 1, 1987·The Journal of Trauma·M D McGonigalA M Ledgerwood
Jan 30, 1999·Scandinavian Journal of Urology and Nephrology·F R SchmidlinP Graber
Jun 7, 2000·The Journal of Urology·A L AltmanJ P Spirnak
Oct 13, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·A C HarrisL O Marchinkow
Nov 10, 2007·Urology·Joshua A BroghammerRichard A Santucci

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Citations

Dec 4, 2012·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Apul Goel
Sep 22, 2011·Urologia Internationalis·R Molina EscuderoC Hernández Fernández
Aug 19, 2014·Korean journal of urology·Tarun JindalDilip Karmakar

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