La Pediatria Medica e Chirurgica (Nov 2015)

Ureteral rupture after blunt abdominal trauma in a child with unknown horseshoe kidney

  • Arianna Mariotto,
  • Nicola Zampieri,
  • Mariangela Cecchetto,
  • Francesco Saverio Camoglio

DOI
https://doi.org/10.4081/pmc.2015.110
Journal volume & issue
Vol. 37, no. 2

Abstract

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More than 90% of renal injuries in children result from blunt abdominal trauma. A 10-year-old female had a blunt abdominal trauma with macro-hematuria. The computed tomography scan revealed the presence of a horseshoe kidney and a 3rd grade renal lesion and contrast leakage from the right ureter. The ureteral rupture was confirmed by cystoscopy and ascendant pyelography and than a double J-stent was implanted. The stent was removed one month later. Non-surgical management has become the standard of care for both ureteral and renal lesions in children. Non-surgical treatment is a safe procedure for renal trauma with ureteral rupture in children.

Keywords