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KMID : 0360720170300020047
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Journal of the Korean Society Traumatology
2017 Volume.30 No. 2 p.47 ~ p.50
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Hydronephrosis during Conservative Treatment for a Renal Injury Patient
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Kim Ma-Ru
Kim Joong-Suck
Kim Sung-Jeep
Cho Hang-Joo
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Abstract
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A 21-year-old male visited our emergency room. He could not remember the mechanism of injury. He was found beside a motorcycle. Initial vital sign was stable. Observation and conservative treatment were planned at the intensive care unit (ICU). On the third day at ICU, he complained sudden flank pain. It was colicky and hard to control. Without the pain, he had no specific symptom, sign, or laboratory findings. On computed tomography, renal pelvis was filled with hematoma which induced hydronephrosis. Double-J catheter and percutaneous nephrostomy was implemented by an intervention radiologist. Hematome in the renal pelvis was aspirated during the procedure. Symptom of the patient was subsided after the procedure. He was discharged without specific complications.
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KEYWORD
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Hydronephrosis, Hematoma, Wounds and injuries
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