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Časopis Clinical urology – Článok Management of patients with kidney rupture and bleeding into retroperitoneum

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné
Téma: 

Management of patients with kidney rupture and bleeding into retroperitoneum

Vincent Nagy, Miroslav Iláš, Jaroslav Beck

Objective: Analysis of patients with retroperitoneal bleeding from the ruptured kidneys. Material and Methods: 32 consecutive
patients (19 M and 13 F aged 5-83 yrs., mean 43.9 yrs.) with symptoms of retroperitoneal bleeding from a ruptured
kidney were treated through years 2002-2016. The diagnosis was based on history, clinical, and laboratory examinations,
USG and CT. Follow up period was between 1-143 months (av. 29.5 months).
Results: Haematoma volumes ranged from approx. 200-2500 ml (av. 1300 ml). Rate of haemoglobin values ranged from
4.1-15.4 g/dL (av. 9.5 g/dL). Blood transfusions (TU) were required in 21 (65.6%) patients totalling 85 TU (1-8, av. 4 TU).
Spontaneous kidney rupture was recorded in 16 (50%) patients. Eight (25%) patients suffered blunt flank trauma while
another eight (25%) suffered iatrogenic renal injury. Eleven (34.4%) patients were treated before kidney rupture with
anticoagulant or antiplatelet therapy. Treatment of patients depended on clinical findings, renal pathology, the extent
of kidney damage, and volume of haematoma. 17 (53.1%) patients without malignancy or severe renal impairment and
progressive bleeding were treated conservatively. The remaining 15 (46.9%) patients underwent surgery or an additional
procedure (nephrectomy in 13(40.6%), kidney suture in one (3.1%), and in another one (3.1%) coiling of the segmental
renal artery). During the follow-up period, three patients died of other causes (9.4%).
Conclusion: Surgical/conservative treatment depended on renal pathology, kidney damage, and the extent of the
bleeding. It appears that patients treated with anticoagulants have a higher risk of spontaneous or traumatic rupture
of the kidney with retroperitoneal bleeding.

bleeding from the kidney, rupture, iatrogenic injury, anticoagulants, coiling
Klin urol 2017; 13 (3): 136 – 140

Ročník 2017  Témy časopisu Clinical urology 3 / 2017

Viera Tóthová, Pavol Dubinský, Ján Kliment, Ivan Režňák, Eva Takácsová, Iveta Vinarčíková-Mikšíková
Ján Kliment, Vladimír Malec, Jozef Mardiak, Michal Mego
Ján Breza ml., Barbora Novotná
Chrissie T. Wøien, Thomas M. Andersen, Peter Zvara
Vincent Nagy, Miroslav Iláš, Jaroslav Beck

Case study

Vladimír Bartoš, Dušan Pokorný, Juraj Mikuláš, Barbora Škripeková
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Nie sú dostupné žiadne voľne dostupné články
CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ján Kliment, CSc.

MEMBERS OF THE EDITORIAL BOARD
prof. Andrzej Borówka, M.D., PhD.
prof. MUDr. Ján Breza, DrSc.
prof. MUDr. Peter Bujdák, PhD.
prof. MUDr. Tomáš Hanuš, DrSc.
doc. MUDr. Ladislav Jarolím, CSc.
doc. MUDr. Ján Ľupták, PhD.
doc. MUDr. Jozef Marenčák, PhD.
doc. MUDr. Ivan Minčík, PhD.
prof. MUDr. Dalibor Ondruš, DrSc.
prof. Imre Romics, M.D., PhD.
doc. MUDr. Vladimír Študent, PhD.
prof. MUDr. Ján Švihra, PhD.
prof. MUDr. Ladislav Valanský, PhD.
doc. MUDr. František Záťura, PhD.
MUDr. Peter Zvara, PhD.

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prof. MUDr. Ján Švihra, PhD.

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Examples of citations:
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2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285: 430-436.
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Which of following factors is not related to rosacea?
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c. propionibacterium acnes
d. endothelial growth factor

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Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné