Traumatic veno-caliceal fistula in a solitary kidney.
We present herein what we believe to be the first reported case of a traumatic veno-caliceal fistula and describe our technique for surgical repair. We use a transabdominal approach for renal trauma and advocate occlusion of the renal artery alone during intrarenal surgery. We believe that conservative management of renal injuries, even with a solitary kidney, yields the highest salvage rate. Initial arteriography best delineates most renal injuries and is a safe technique for following progressive changes that may require an operation. When injury occurs in a solitary kidney medical renal consultation and facilities for interim dialysis must be readily available.
D000328:Adult; D000792:Angiography; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000293:injuries*; D007670:Kidney Calices / Q000601:surgery; D007682:Kidney Pelvis; D008297:Male; D012082:Renal Veins / Q000601:surgery; D014054:Tomography; D014548:Urinary Fistula / Q000209:etiology*; D014567:Urography