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

Arianna Mariotto, Nicola Zampieri, Mariangela Cecchetto, Francesco Saverio Camoglio
  • Arianna Mariotto
    Pediatric Surgical Unit, Department of Surgical Sciences, G.B. Rossi Hospital, Verona, Italy
  • Nicola Zampieri
    Pediatric Surgical Unit, Department of Surgical Sciences, G.B. Rossi Hospital, Verona, Italy | dr.zampieri@libero.it
  • Mariangela Cecchetto
    Pediatric Surgical Unit, Department of Surgical Sciences, G.B. Rossi Hospital, Verona, Italy
  • Francesco Saverio Camoglio
    Pediatric Surgical Unit, Department of Surgical Sciences, G.B. Rossi Hospital, Verona, Italy

Abstract

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

Blunt trauma; Children; Horseshoe kidney; Ureteral lesion

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Submitted: 2015-03-04 14:56:47
Published: 2015-11-24 15:00:42
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Copyright (c) 2015 Arianna Mariotto, Nicola Zampieri, Mariangela Cecchetto, Francesco Saverio Camoglio

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