J Korean Soc Traumatol.  2017 Jun;30(2):47-50. 10.20408/jti.2017.30.2.47.

Hydronephrosis during Conservative Treatment for a Renal Injury Patient

• Kim M
• Kim J
• Kim SJ
• Cho HJ

• KMID: 2392707
• DOI: http://doi.org/10.20408/jti.2017.30.2.47

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.

Keyword

Hydronephrosis; Hematoma; Wounds and injuries

MeSH Terms

Catheters
Emergency Service, Hospital
Flank Pain
Hematoma
Humans
Hydronephrosis*
Intensive Care Units
Kidney Pelvis
Male
Motorcycles
Nephrostomy, Percutaneous
Vital Signs
Wounds and Injuries
Young Adult