TITLE:
Delayed Management of High-Grade Renal Trauma in a Child with Bilateral Lower Polar Artery: A Case Report
AUTHORS:
Doudou Gueye, Florent Tshibwid A. Zeng, Ibrahima Bocar Wellé, Papa Alassane Mbaye, Lissoune Cissé, Christ Tsague Momo, Ndeye Aby Ndoye, Aloïse Sagna, Gabriel Ngom
KEYWORDS:
Renal Trauma, Lower Polar Artery, Urinoma, Delayed Diagnosis, Case Report
JOURNAL NAME:
Open Journal of Urology,
Vol.12 No.11,
November
18,
2022
ABSTRACT: High-grade renal trauma rarely occurs due to low-velocity mechanisms. With its clinical presentation, delayed diagnosis rarely happens. We report the case of a 12-year-old girl diagnosed seven days post-trauma with grade IV renal trauma complicated with infected urinoma and bilateral lower polar vessels. She was non-operatively managed with ultrasound-guided percutaneous drainage of the urinoma, which resolved, and had unremarkable six months follow-up. We discuss the role of preexistent hydronephrosis in low-velocity impact, pitfalls of diagnosis in resource-constrained settings, and management of high-grade trauma.