Successfully managed grade IV renal injury and retained bullet in third-trimester pregnant woman

Abdikarim Hussein Mohamed; Aşır Eraslan; Abdihamid Mohamed Ali; Khalid Ali Mohamed

doi:10.1016/j.eucr.2019.101082

Successfully managed grade IV renal injury and retained bullet in third-trimester pregnant woman

Urol Case Rep. 2019 Nov 29:29:101082. doi: 10.1016/j.eucr.2019.101082. eCollection 2020 Mar.

Authors

Abdikarim Hussein Mohamed¹, Aşır Eraslan², Abdihamid Mohamed Ali³, Khalid Ali Mohamed¹

Affiliations

¹ Department of Urology, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.
² Department of Urology, S.B Ankara Dışkapı Yıldırım Beyazıt Eğıtım Ve Araştırma Hastanesı, Ankara, Turkey.
³ Department of General Surgery, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.

Abstract

Gunshot injury to the kidney in pregnant women is extremely rare describing a significant cause of maternal and fetal morbidity and mortality. This case report demonstrates the management of renal trauma by presenting 24years old third-trimester pregnant women who sustained gunshot wounds to the abdomen. Renal trauma management has evolved in the last decades from immediate surgical exploration to non-operative management (NOM). Based on our patient's outcome, we review the role of conservative management to a high grade of penetrating renal trauma which is potentially life-threatening describing the safety of this approach.

Keywords: Gunshot injury; Nephrectomy; Renal trauma.

Publication types

Case Reports