[Conservative approach to IV grade renal trauma].
A case of grade IV renal trauma is reported and the literature reviewed. A 29-year-old man was admitted in an emergency setting for a grade IV renal and splenic trauma as a result of a motorcycle accident. Since the patient was haemodynamically stable and the retroperitoneal haematoma was neither expanding nor pulsating, a conservative approach was adopted and the renal trauma was managed with interventional radiology. The case shows that major renal traumas can be usefully managed by non-operative treatment, necessarily consisting in a mutidisciplinary approach.
Assenza
Marco
M
Servizio Speciale Chirurgia d'Urgenza 1-2 Dipartimento di Chirurgia Pietro Valdoni Università degli Studi di Roma La Sapienza Policlinico Umberto I, Roma.
Romagnoli
Francesco
F
Caramanico
Luciano
L
Tomei
Barbara
B
Bartolucci
Piero
P
Rengo
Mario
M
Modini
Claudio
C
D000328:Adult; D006801:Humans; D015601:Injury Severity Score; D007668:Kidney / Q000293:injuries*; D008297:Male; D014949:Wounds, Nonpenetrating / Q000628:therapy*