Conservative management of symptomatic or asymptomatic urinoma after grade III blunt renal trauma: A report of three cases

Mina Kikuchi; Koji Kameyama; Kengo Horie; Kosuke Mizutani; Kensaku Seike; Taku Kato; Takashi Sugawara; Tomohiro Tsuchiya; Mitsuru Yasuda; Shigeaki Yokoi; Masahiro Nakano; Takashi Deguchi; Hiroshi Kondo; Yoji Moriyama; Hidetoshi Ehara

Conservative management of symptomatic or asymptomatic urinoma after grade III blunt renal trauma: A report of three cases

Mina Kikuchi, Koji Kameyama, Kengo Horie, Kosuke Mizutani, Kensaku Seike, Taku Kato, Takashi Sugawara, Tomohiro Tsuchiya, Mitsuru Yasuda, Shigeaki Yokoi, Masahiro Nakano, Takashi Deguchi, Hiroshi Kondo, Yoji Moriyama, Hidetoshi Ehara

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

The management of urinoma after blunt renal trauma is still controversial, ranging from percutaneous drainage or ureteral stent placement for the symptomatic urinoma and waiting for spontaneous vanishment of the asymptomatic urinoma. We present two cases of symptomatic urinoma and a case of asymptomatic urinoma after renal laceration. All patients underwent selective renal arterial embolization for vascular complications, including active bleeding, pseudoaneurysm and arteriovenous fistula. Urinomas, which had been observed in all cases gradually reduced and vanished 1-24 months later. All cases were successfully managed without catheterization or percutaneous drainage for urinoma.

Original language	English
Pages (from-to)	615-620
Number of pages	6
Journal	Acta Urologica Japonica
Volume	60
Issue number	12
State	Published - 1 Dec 2014
Externally published	Yes

Keywords

Conservative
Renal trauma
Symptomatic urinoma

Cite this

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title = "Conservative management of symptomatic or asymptomatic urinoma after grade III blunt renal trauma: A report of three cases",

abstract = "The management of urinoma after blunt renal trauma is still controversial, ranging from percutaneous drainage or ureteral stent placement for the symptomatic urinoma and waiting for spontaneous vanishment of the asymptomatic urinoma. We present two cases of symptomatic urinoma and a case of asymptomatic urinoma after renal laceration. All patients underwent selective renal arterial embolization for vascular complications, including active bleeding, pseudoaneurysm and arteriovenous fistula. Urinomas, which had been observed in all cases gradually reduced and vanished 1-24 months later. All cases were successfully managed without catheterization or percutaneous drainage for urinoma.",

keywords = "Conservative, Renal trauma, Symptomatic urinoma",

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TY - JOUR

T1 - Conservative management of symptomatic or asymptomatic urinoma after grade III blunt renal trauma

T2 - A report of three cases

AU - Kikuchi, Mina

AU - Kameyama, Koji

AU - Horie, Kengo

AU - Mizutani, Kosuke

AU - Seike, Kensaku

AU - Kato, Taku

AU - Sugawara, Takashi

AU - Tsuchiya, Tomohiro

AU - Yasuda, Mitsuru

AU - Yokoi, Shigeaki

AU - Nakano, Masahiro

AU - Deguchi, Takashi

AU - Kondo, Hiroshi

AU - Moriyama, Yoji

AU - Ehara, Hidetoshi

PY - 2014/12/1

Y1 - 2014/12/1

N2 - The management of urinoma after blunt renal trauma is still controversial, ranging from percutaneous drainage or ureteral stent placement for the symptomatic urinoma and waiting for spontaneous vanishment of the asymptomatic urinoma. We present two cases of symptomatic urinoma and a case of asymptomatic urinoma after renal laceration. All patients underwent selective renal arterial embolization for vascular complications, including active bleeding, pseudoaneurysm and arteriovenous fistula. Urinomas, which had been observed in all cases gradually reduced and vanished 1-24 months later. All cases were successfully managed without catheterization or percutaneous drainage for urinoma.

AB - The management of urinoma after blunt renal trauma is still controversial, ranging from percutaneous drainage or ureteral stent placement for the symptomatic urinoma and waiting for spontaneous vanishment of the asymptomatic urinoma. We present two cases of symptomatic urinoma and a case of asymptomatic urinoma after renal laceration. All patients underwent selective renal arterial embolization for vascular complications, including active bleeding, pseudoaneurysm and arteriovenous fistula. Urinomas, which had been observed in all cases gradually reduced and vanished 1-24 months later. All cases were successfully managed without catheterization or percutaneous drainage for urinoma.

KW - Conservative

KW - Renal trauma

KW - Symptomatic urinoma

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M3 - 記事

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AN - SCOPUS:84923853866

SN - 0018-1994

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SP - 615

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JO - Acta Urologica Japonica

JF - Acta Urologica Japonica

IS - 12

ER -

Conservative management of symptomatic or asymptomatic urinoma after grade III blunt renal trauma: A report of three cases

Abstract

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