• Jing Xie, Ying Liu, Tong Chen, and Ke-Feng Xiao.
• Department of Urology, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen, China.
• Medicine (Baltimore). 2020 Apr 1; 99 (16): e19853.

RationaleKidney is the most frequently injured organ of the genitourinary system during trauma. Bilateral penetrating renal trauma (BPRT) is extremely rare and sporadically reported in the previous literature. Here, we reported a unique case of BPRT.Patient ConcernsA 43-year-old man, with no medical history, was accidentally penetrated by a wooden stick and presented with sharp pain in the left flank.DiagnosisLaboratory tests revealed microscopic hematuria, mildly elevated leucocyte and amylase, normal hemoglobin (145 g/L) and creatinine (1.05 mg/dl). Computed tomography demonstrated bilateral penetrating renal injuries with perinephric/subcapsular hematoma, fracture of the second lumbar vertebra and 10th rib.InterventionsAn emergency exploratory laparotomy was executed immediately. According to the American Association for the Surgery of Trauma Organ Injury Scale grading system, grade V and III injuries were considered for the left and right kidney, respectively. Nephrectomy and renorrhaphy were performed on the left and right kidney, respectively.OutcomesThe postoperative course was uneventful. Eleven days after the surgery, the patient discharged with no complications.LessonsWe present a rare and challenging case which was handled successfully, and it may provide useful information for the management of BPRT.

28 keywords...

hide…