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Revista Médica de Costa Rica y Centroamérica

Colegio de Medicos y Cirujanos República de Costa Rica
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2018, Number 625

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Rev Med Cos Cen 2018; 84 (625)

Ruptura traumática de un quiste renal simple: reporte de caso

Pardo JJ, Álvarez SR
Full text How to cite this article

Language: Spanish
References: 10
Page: 47-52
PDF size: 121.58 Kb.


Key words:

Kidney cyst, autosomal dominant polycystic kidney disease, traumatic rupture of renal simple cysts, retroperitoneal collection.

ABSTRACT

Context: To report a case of traumatic rupture of renal cyst into the retroperitoneal cavity.
Case Report: We report a case of a 88-year old man with hypertension, atrial fibrillation and anticoagulated by that reason who suffered a 2mts backwards fall with dorsolumbar trauma, when he arrived to the emergency room he’s unique symptons were respiratory distress and dorsalgia. He was evaluated with de ABC protocole for trauma and with de initial FAST US no intra-abdominal free fluid could be found, without skin trauma signs. but even without signs of severity or decrease in hemoglobin, it was decided by the mechanism of the trauma to perform CT of the abdomen that documented the rupture of a simple renal cyst and the presence of another simple renal cysts in both kidneys that doesn’t need any further management instead of tracing.
Conclusion: The traumatic rupture of renal cyst is an exceptional complication of polycystic kidney disease and doesn’t need any other management instead if it turns infected by any reason, or if it turns hemorrhagic with hemodynamic compromise.


REFERENCES

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  2. Djakovic N, Plas E, Martínez‑Piñeiro L, Lynch Th, Mor Y, Santucci R, Serafetinidis E, Turkeri L, Hohenfellner M. Guía clínica sobre los traumatismos urológicos. European Association of Urology. (2010) pp 1425-1526

  3. Gutreiman C, Meza P, Núñez S. ULTRASONIDO FAST: Revisión Bibliográfica. REVISTA MEDICA DE COSTA RICA Y CENTOAMERICA. LXIV (2007). Vol 579 pp 93-95

  4. Khan MQ, Ponor IL, Ross AE, et al. BMJ Case Rep: Management of a simple renal cyst in a complex patient. BMJ Case Report (2013) doi: 10. 1136/bcr-2013-009270

  5. Hernandez A, de Diego E, Rado M, Lanzas Jose. Ruptura espontánea de quiste renal simple en el sistema pielocalicial. evolucion desde BOSNIAK I a IIF. Arch. Esp. Urol. (2008) 61, 3: 439-441

  6. Hammami M, Guirat A, Ksibi H, Azzaza M, Rekik N, Beyrouti MI. Intraperitoneal rupture of renal cyst in autosomal dominant polycystic kidney disease. North America Journal Medical Science (2010); VOl 2, pp 238-240.

  7. Mut R, Molina R, Villar A. Diagnóstico por imagen del traumatismo abdominal cerrado con repercusión renal y vesical. Tratado de Urologia en Imágenes.(2013) pp1-25.

  8. Walsh B, Sutijono D. Emergency ultrasound diagnosis of traumatic renal cyst rupture. Critical Ultrasound Journal (2010) Vol 1 pp 127–128

  9. Patel N., Riherd j. Focused Assessment with Sonography for Trauma: Methods, Accuracy, and Indications. Surgical Clinical N America 91 (2011) pp 195–207

  10. Ruiz J, Valdez A, Sacnicté I, Villagómez A, Casaos H. Traumatismo esplénico Evaluacion con tomografía computada. Anales de Radiologia Mexico. (2012). Vol 1 pp 33-45.




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Rev Med Cos Cen. 2018;84