1. Avulsión completa de la unión pieloureteral tras traumatismo renal: manejo conservador.
- Author
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Oliver Vall-Llosera, M. B., Gander, R., Gomes, G. Royo, Pujabet, M. Aguilera, Guzmán, O. Rocha, Paredes, M. López, and Lorente, M. Asensio
- Subjects
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PLASTIC surgery , *URINARY organs , *CHILDREN'S injuries , *RENAL artery , *URETHRA , *NEPHROSTOMY - Abstract
Introduction. Surgical exploration in complete ureteropelvicjunction disruption (CUPJD) is still recommended by many authors. Conservative approach to pediatric renal trauma (RT) includes minimally invasive techniques such as nephrostomy, angioembolization or double-J stent placement. Clinical case. A 14-year-old patient with CUPJD was treated conservatively. CT-scan revealed active bleeding of the renal artery and significant urine extravasation. Coil angioembolization and nephrostomy placement were performed. An attempt to place a double-J stent was unsuccessful and surgical reconstruction was scheduled. Before surgery, methylene-blue was injected through the nephrostomy observing blue urine output through urethra. Antegrade pyelogram revealed drainage from the urinoma to the ureter. A new attempt to place an internalexternal double-J-stent was successful. After 5 weeks, it was removed with total restoration of the urinary tract. Conclusion. Complete urinary tract restoration in some cases of CUPJD following RT is possible through a nonoperative approach. It can be safe and effective, reducing the risk of complications associated with complex surgeries. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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