A case of renal trauma successfully treated by close monitoring of intravesical pressure and subsequent intervention

Abstract

Management of abdominal compartment syndrome (ACS) due to renal injury is important. A 21-year-old man was taken to an emergent care unit with grade IV right kidney trauma and hypovolemic shock due to a road traffic injury. Despite twice targeted transcatheter arterial embolization of a renal artery, intravesical pressure increased and blood pressure was difficult to maintain. After right nephrectomy and ligated the bleeding lumbar arteries and veins to avoid ACS, the patient's general condition improved, and he did not develop ACS. Monitoring of intravesical pressure may be useful for deciding treatment strategy.

Keywords

• Renal trauma
• Abdominal compartment syndrome (ACS)
• Intra-abdominal pressure (IAP)
• Transcatheter arterial embolization (TAE)