Trauma Of Pathological Kidney About 13 Cases And Literature Review
Journal: International Journal of Scientific & Technology Research (Vol.3, No. 6)Publication Date: 2014-06-15
Authors : Mohammed Asseban; Adil Mazdar; Hamade Moutih; Hachem El Sayegh; Ali Iken; Lounis Benslimane; Yassine Nouini;
Page : 168-172
Keywords : Key words Renal injury Pathological kidney Diagnosis Conservative treatment Etiological treatment.;
Abstract
Abstract The aim of this work is to record the acquired or congenital uropathy diagnosed during kidney injury and to evaluate their diagnostic prognostic and therapeutic aspects. We report a retrospective study of 13 cases 14 of renal trauma on pathological kidney from a total of 93 observations of renal trauma collected at Department of Urology A in the University Hospital Ibn Sina Rabat between January 2002 and January 2014. It is often a road accident in 8 cases 615. The underlying uropathy is dominated by urolithiasis in 6 cases 461 pelvi-ureteric junction in 3 cases 231 followed by kidney tumors in 2 cases 154 and cystic kidney disease in 2 cases 154. Therapeutically 2 patients 153 were investigated in emergency for hemodynamic instability involving life-threatening. The other 11 cases received conservative attitude based on clinical and radiological monitoring by computed tomography CT. The selective embolization of arterial lesions or drainage of the urinary tract were performed according to indication. Etiological treatment was performed after an average of 113 days. The therapeutic approach should be conservative. The current trend is to drain the urinary tract in the acute phase and then propose a late etiological treatment.
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