학술논문
Grade IV Renal Laceration in a 13-Year-Old Boy With Cross-fused Renal Ectopia.
Document Type
Journal Article
Source
Subject
*SURGICAL stents
*CHILD patients
*URINARY diversion
*IMPLANTABLE catheters
*URETER diseases
*EXTRAVASATION
*
*
*
*
*
Language
ISSN
0090-4295
Abstract
A 13-year-old boy presented with gross hematuria following a skateboarding accident and was found to have cross-fused renal ectopia of the left kidney with a grade IV right renal laceration and urinary extravasation. Despite a double-J ureteral stent, urinoma drain, and indwelling bladder catheter, his urinoma drain maintained high output. He underwent a ureteral stent exchange and upsizing. A percutaneous nephrostomy tube was subsequently placed for maximal urinary diversion, which ultimately led to the resolution in his urinary leak. This case highlights our endourologic approach to manage a severe urinary leak despite conservative measures in a pediatric patient with a renal anomaly. [ABSTRACT FROM AUTHOR]