Management of high-grade kidney trauma on bilateral polycystic kidney disease: A case report

• Published in: International journal of surgery case reports 2024-09, Vol.122, p.110158, Article 110158
• Main Authors: Angeli, Anastasia Pearl, Wirjopranoto, Soetojo, Azmi, Yufi Aulia, Putra, Antonius Galih Pranesdha, Soetanto, Kevin Muliawan
• Format: Article
• Language: English
• Subjects: Case Report; High-grade kidney trauma; Mortality; Polycystic kidney disease
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2024.110158

The kidneys are the genitourinary organs most susceptible to trauma. One case is high-grade kidney trauma that can lead to kidney failure, such as Polycystic Kidney Disease (PKD). Here, we report a case of high-grade kidney trauma on PKD. A 28-year-old man was involved in a traffic accident and was diagnosed with a left kidney rupture. There was minimal free fluid in the abdominal cavum and left pleural effusion. The results of USG in the left kidney showed a rupture in the posterior part of the cortex-medulla reaching the calyx, accompanied by a left posterior peri-renal hematoma and a PKD in the right kidney. In the CT scan examination, the hematoma extended to the lower left retroperitoneum and peripancreatic. The size of the left kidney was enlarged. In the right kidney, PKD was accompanied by an enlargement of the kidney size, but no rupture was obtained. Patient had been diagnosed with high-grade kidney trauma (AAST Grade IV). The patient was given conservative therapy. He was alive and discharged from the hospital. Non-operative management (NOM) is the standard in kidney trauma management, with good outcomes in preventing morbidity and mortality. The trend toward this procedure results in a decrease in the number of unnecessary nephrectomies and a potential improvement in the quality of patient inhalation. Ultrasound and CT scan examinations are important markers. The management of high-grade kidney trauma on PKD can be carried out conservatively and show good patient outcomes. •Non-operative management is safe and effective for hemodynamically stable patients with high-grade kidney trauma.•Conservative management of high-grade kidney trauma on Bilateral Polycystic Kidney Disease is possible.•Clinical and laboratory examination, important things on high-grade kidney trauma on Bilateral Kidney Disease