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dc.contributor.authorFanning, Deirdre Mary
dc.contributor.authorForde, James C
dc.contributor.authorMohan, Ponnusamy
dc.date.accessioned2013-03-04T14:03:58Z
dc.date.available2013-03-04T14:03:58Z
dc.date.issued2012
dc.identifier.citationA simple football injury leading to a grade 4 renal trauma. 2012, 2012: BMJ Case Repen_GB
dc.identifier.issn1757-790X
dc.identifier.pmid22605590
dc.identifier.doi10.1136/bcr.10.2011.4959
dc.identifier.urihttp://hdl.handle.net/10147/270932
dc.description.abstractThis case highlights the need for cautious management and serial regular examination of trauma patients. A 22-year-old Caucasian male presented to the emergency department 4 h following an injury sustained during football training. He complained of the immediate onset of severe left upper quadrant and left flank pain. He subsequently developed frank haematuria. On initial review, he was haemodynamically stable. CT of the abdomen and pelvis showed a grade 4 renal trauma. Over the following 36 h, he remained haemodynamically stable. On serial abdominal examinations however, he developed a rigid abdomen and was noted to have a haemoglobin drop. Interval CT scan showed a progression of his injury and the presence of a haemoperitoneum. An emergency laparotomy was performed resulting in a left nephrectomy. He made an uneventful recovery.
dc.language.isoenen
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subject.meshDisease Progression
dc.subject.meshFootball
dc.subject.meshHumans
dc.subject.meshKidney
dc.subject.meshMale
dc.subject.meshNephrectomy
dc.subject.meshTomography, X-Ray Computed
dc.subject.meshWounds, Nonpenetrating
dc.subject.meshYoung Adult
dc.titleA simple football injury leading to a grade 4 renal trauma.en_GB
dc.typeArticleen
dc.contributor.departmentUrology and Transplantation Department, Beaumont Hospital, Dublin, Ireland. fanningdee@yahoo.co.uken_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.provinceLeinsteren
html.description.abstractThis case highlights the need for cautious management and serial regular examination of trauma patients. A 22-year-old Caucasian male presented to the emergency department 4 h following an injury sustained during football training. He complained of the immediate onset of severe left upper quadrant and left flank pain. He subsequently developed frank haematuria. On initial review, he was haemodynamically stable. CT of the abdomen and pelvis showed a grade 4 renal trauma. Over the following 36 h, he remained haemodynamically stable. On serial abdominal examinations however, he developed a rigid abdomen and was noted to have a haemoglobin drop. Interval CT scan showed a progression of his injury and the presence of a haemoperitoneum. An emergency laparotomy was performed resulting in a left nephrectomy. He made an uneventful recovery.


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