Traumatic injury of an ectopic kidney with iatrogenic ureteral injury and endovascular control of aberrant renal vessel

Authors

James A. Zebley, Center for Trauma and Critical Care, Department of Surgery, George Washington University, Washington, DC, USA.
Troy Mohamed, Center for Trauma and Critical Care, Department of Surgery, George Washington University, Washington, DC, USA.
Sarah Azari, Department of Urology, George Washington University, Washington, DC, USA.
Michael Helbig, Department of Urology, George Washington University, Washington, DC, USA.
Babak Sarani, Center for Trauma and Critical Care, Department of Surgery, George Washington University, Washington, DC, USA.
Daniel Stein, Department of Urology, George Washington University, Washington, DC, USA.

Document Type

Journal Article

Publication Date

1-1-2024

Journal

Urology case reports

Volume

52

DOI

10.1016/j.eucr.2023.102645

Keywords

Ectopic kidney; Renal salvage; Trauma

Abstract

The management of traumatic injuries in patients with ectopic kidneys presents special challenges. There is a paucity of literature regarding optimal strategies for renal salvage. We describe a case of a patient who presented in hemorrhagic shock after a motor vehicle collision. On initial operative exploration, he was found to have a large retroperitoneal mass. Subsequent imaging demonstrated a large retroperitoneal hematoma and an ectopic kidney. The patient was successfully treated with a combination of open renorrhaphy and endovascular angioembolization. This case demonstrates the importance of a multidisciplinary approach to treating these complex injuries.

APA Citation

Zebley, James A.; Mohamed, Troy; Azari, Sarah; Helbig, Michael; Sarani, Babak; and Stein, Daniel, "Traumatic injury of an ectopic kidney with iatrogenic ureteral injury and endovascular control of aberrant renal vessel" (2024). GW Authored Works. Paper 4229.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/4229

Department

Surgery