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Successful nonoperative management of a simultaneous high-grade splenic injury and devascularized kidney in Australia: a case report

  • 투고 : 2023.03.30
  • 심사 : 2023.05.25
  • 발행 : 2023.12.31

초록

Severe blunt injuries to isolated solid abdominal viscera have been previously managed nonoperatively; however, management algorithms for simultaneous visceral injuries are less well defined. We report a polytrauma case of a 33-year-old man involved in a motorbike collision who presented with left-sided chest and abdominal pain. Initial imaging demonstrated multiple solid organ injuries with American Association for the Surgery of Trauma (AAST) grade V splenic injury and complete devascularization of the left kidney. The patient underwent urgent angioembolic coiling of the distal splenic artery with successful nonoperative management of simultaneous grade V solid organ injuries.

키워드

참고문헌

  1. Abo-Elhoda MF, Attia SM, Ahmed ME, Abdeldaiem KA. Solid organs injuries in blunt abdominal trauma patients. Egypt J Hosp Med 2021;83:1477-83. https://doi.org/10.21608/ejhm.2021.170510
  2. Stassen NA, Bhullar I, Cheng JD, et al. Selective nonoperative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012;73(5 Suppl 4):S294-300. https://doi.org/10.1097/TA.0b013e3182702afc
  3. El-Menyar A, Abdelrahman H, Al-Hassani A, et al. Single versus multiple solid organ injuries following blunt abdominal trauma. World J Surg 2017;41:2689-96. https://doi.org/10.1007/s00268-017-4087-3
  4. Teuben MP, Spijkerman R, Blokhuis TJ, et al. Safety of selective nonoperative management for blunt splenic trauma: the impact of concomitant injuries. Patient Saf Surg 2018;12:32.
  5. Simioni P, Prandoni P, Lensing AW, et al. The risk of recurrent venous thromboembolism in patients with an Arg506→Gln mutation in the gene for factor V (factor V Leiden). N Engl J Med 1997;336:399-403. https://doi.org/10.1056/NEJM199702063360602
  6. Kanlerd A, Auksornchart K, Boonyasatid P. Non-operative management for abdominal solidorgan injuries: a literature review. Chin J Traumatol 2022;25:249-56. https://doi.org/10.1016/j.cjtee.2021.09.006
  7. Brillantino A, Iacobellis F, Festa P, et al. Non-operative management of blunt liver trauma: safety, efficacy and complications of a standardized treatment protocol. Bull Emerg Trauma 2019;7:49-54. https://doi.org/10.29252/beat-070107
  8. van der Wilden GM, Velmahos GC, Joseph DK, et al. Successful nonoperative management of the most severe blunt renal injuries: a multicenter study of the research consortium of New England Centers for Trauma. JAMA Surg 2013;148:924-31. https://doi.org/10.1001/jamasurg.2013.2747
  9. Keihani S, Xu Y, Presson AP, et al. Contemporary management of high-grade renal trauma: results from the American Association for the Surgery of Trauma Genitourinary Trauma study. J Trauma Acute Care Surg 2018;84:418-25. https://doi.org/10.1097/TA.0000000000001796
  10. Ruscelli P, Gemini A, Rimini M, et al. The role of grade of injury in non-operative management of blunt hepatic and splenic trauma: case series from a multicenter experience. Medicine (Baltimore) 2019;98:e16746.
  11. Coccolini F, Moore EE, Kluger Y, et al. Kidney and uro-trauma: WSES-AAST guidelines. World J Emerg Surg 2019;14:54.
  12. Brown CV, Alam HB, Brasel K, et al. Western trauma association critical decisions in trauma: management of renal trauma. J Trauma Acute Care Surg 2018;85:1021-5. https://doi.org/10.1097/TA.0000000000001960
  13. The EAST Practice Management Guidelines Work Group; Holevar M, DiGiacomo JC, et al. Practice management guidelines for the evaluation of genitourinary trauma. Eastern Association for the Surgery of Trauma (EAST); 2003.