A Rare Case of Pediatric Pelvic Ectopic Kidney Injury Management

Abstract

Renal injury occurs in 10-20% of all abdominal blunt traumas and 3-4% of penetrating traumas in the pediatric population. A 6-year-old girl who had blunt abdominal trauma as a result of a motor vehicle accident was evaluated in the emergency department of our hospital. She complained of a severe left flank and abdominal pain. Defensiveness was detected in the left quadrants of the abdomen and costovertebral angle tenderness was detected in the left. Abdominal computed tomography revealed a left pelvic ectopic kidney with a grade three laceration. The patient was admitted to our urology department, and conservative follow-up was decided after hemodynamic stability was achieved. During the follow-ups, clinical manifestations, vital signs, and laboratory values remained stable, the patient was discharged. In conclusion, based on this experience, we believe that the management of child pelvic ectopic kidney injury can be similar to that of orthotopic kidneys in accordance with the classification of the injury.

Keywords

• acute kidney injury
• conservative treatment
• ectopic pelvic kidney