Emergency management and successful nephrectomy-splenectomy for blunt renal and splenic trauma caused by stabbing in an adolescent
Urology department, university hospital HASSAN II, Fez, Morocco.
Case Study
World Journal of Advanced Research and Reviews, 2023, 19(03), 1349–1351
Publication history:
Received on 13 August 2023; revised on 25 September 2023; accepted on 28 September 2023
Abstract:
This case report presents the management of a 17-year-old adolescent stabbed by a sharp knife resulting in hemorrhagic shock. Upon arrival at the emergency department, the patient had a 3 cm left flank wound and was hemodynamically unstable. Due to the urgency of the situation, surgical exploration was performed without prior imaging. The exploration revealed a 4 cm renal injury and a 3 cm splenic injury, leading to the performance of nephrectomy and splenectomy for urgent hemostasis. The patient was subsequently admitted to the intensive care unit for 10 days and made a successful recovery. This case emphasizes the importance of promptly and appropriately managing renal and splenic trauma caused by stabbing incidents.
Keywords:
Renal injury; Splenectomy; Nephrectomy; Hemorrhagic shock
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