A case of renal trauma successfully treated by close monitoring of intravesical pressure and subsequent intervention

Issei Suzuki; Toshiki Kijima; Koji Wake; Hirotaka Fuchizawa; Kazuyuki Ono; Takao Kamai

doi:10.1016/j.eucr.2022.102014

A case of renal trauma successfully treated by close monitoring of intravesical pressure and subsequent intervention

Urol Case Rep. 2022 Jan 24:42:102014. doi: 10.1016/j.eucr.2022.102014. eCollection 2022 May.

Authors

Issei Suzuki¹, Toshiki Kijima¹, Koji Wake², Hirotaka Fuchizawa¹, Kazuyuki Ono², Takao Kamai¹

Affiliations

¹ Department of Urology, Dokkyo Medical University, Mibu, Tochigi, Japan.
² Department of Emergency and Critical Care Medicine, Dokkyo Medical University, Mibu, Tochigi, Japan.

Abstract

Management of abdominal compartment syndrome (ACS) due to renal injury is important. A 21-year-old man was taken to an emergent care unit with grade IV right kidney trauma and hypovolemic shock due to a road traffic injury. Despite twice targeted transcatheter arterial embolization of a renal artery, intravesical pressure increased and blood pressure was difficult to maintain. After right nephrectomy and ligated the bleeding lumbar arteries and veins to avoid ACS, the patient's general condition improved, and he did not develop ACS. Monitoring of intravesical pressure may be useful for deciding treatment strategy.

Keywords: Abdominal compartment syndrome (ACS); Intra-abdominal pressure (IAP); Renal trauma; Transcatheter arterial embolization (TAE).

Publication types

Case Reports