Delayed Management of High-Grade Renal Trauma in a Child with Bilateral Lower Polar Artery: A Case Report

作     者：Doudou Gueye Florent Tshibwid A. Zeng Ibrahima Bocar Wellé Papa Alassane Mbaye Lissoune Cissé Christ Tsague Momo Ndeye Aby Ndoye Aloï se Sagna Gabriel Ngom Doudou Gueye;Florent Tshibwid A. Zeng;Ibrahima Bocar Wellé;Papa Alassane Mbaye;Lissoune Cissé;Christ Tsague Momo;Ndeye Aby Ndoye;Aloïse Sagna;Gabriel Ngom

作者机构：Department of Pediatric Surgery Albert Royer National Children’s Hospital Centre Université Cheikh Anta Diop Dakar Senegal 

出 版 物：《Open Journal of Urology》 (泌尿学期刊（英文）)

年 卷 期：2022年第12卷第11期

页      面：556-562页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Renal Trauma Lower Polar Artery Urinoma Delayed Diagnosis Case Report 

摘      要：High-grade renal trauma rarely occurs due to low-velocity mechanisms. With its clinical presentation, delayed diagnosis rarely happens. We report the case of a 12-year-old girl diagnosed seven days post-trauma with grade IV renal trauma complicated with infected urinoma and bilateral lower polar vessels. She was non-operatively managed with ultrasound-guided percutaneous drainage of the urinoma, which resolved, and had unremarkable six months follow-up. We discuss the role of preexistent hydronephrosis in low-velocity impact, pitfalls of diagnosis in resource-constrained settings, and management of high-grade trauma.