title: Traumatic rupture of horseshoe kidney.
abstract: We present the case of a 25-year-old male who came to the emergency room for pain and abdominal distension following trauma to the mesogastrium. A CT scan was performed, revealing a voluminous retroperitoneal hematoma with laceration of both inferior renal poles with regard to rupture of the isthmus of a horseshoe kidney. The patient presented anemization and increased pain, requiring selective embolization by means of arteriography of a branch of the right renal artery and placement of a double J stent due to urinary extravasation in the lower left kidney pole. Following 1 year of monitoring, the patient has maintained normal renal function. Renal affection in blunt abdominal trauma is frequent, occurring in 7% of previously pathological kidneys. The traumatic rupture of horseshoe kidney is facilitated by its particular anatomical characteristics, constituting an infrequent entity, knowledge of which is necessary to achieve conservative management that renders it possible to preserve renal function.
authors.affiliation: Department of Urology, Hospital General Universitario Gregorio Marañón, Madrid, Spain. robersescu @ hotmail.com
authors.forename: R
authors.initials: R
authors.lastname: Molina Escudero
authors.forename: M J
authors.initials: MJ
authors.lastname: Cancho Gil
authors.forename: A
authors.initials: A
authors.lastname: Husillos Alonso
authors.forename: E
authors.initials: E
authors.lastname: Lledó García
authors.forename: F
authors.initials: F
authors.lastname: Herranz Amo
authors.forename: G
authors.initials: G
authors.lastname: Ogaya Piniés
authors.forename: E
authors.initials: E
authors.lastname: Ramón Botella
authors.forename: G
authors.initials: G
authors.lastname: Simó
authors.forename: M C
authors.initials: MC
authors.lastname: Navas Martínez
authors.forename: C
authors.initials: C
authors.lastname: Hernández Fernández
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D004621:Embolization, Therapeutic; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000002:abnormalities / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D012077:Renal Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000293:injuries*; D012421:Rupture; D012916:Soccer / Q000293:injuries*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy