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Blast effect of shotgun injury in kidney mimicking avulsion of the low pole

机译:kidney弹枪在模拟低极撕脱性肾损伤中的爆炸作用

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A 39 yr old man presented to the Emergency department, of .orum Training and Research Hospital, Hitit University, .orum, Turkey, in April 2016, with multiple gunshot injuries (GSIs). Computed tomography (CT) showed multiple pellets of shotgun in the abdomen and the left kidney (Fig. 1 and 2) Physical examination of the patient was normal and abdominal exploration was planned. Laparotomy was done and Gerota' fascia was opened. The kidney was normal and only showed blast effect of gunshot on the posterior surface. After one month, computed tomography revealed normal left kidney with posterior defect (Fig. 3).GSIs are the leading cause of death among young males next only to motor vehicle accidents, and Quick Response Code:bleeding and urinary extravasation from the collecting system are the two major problems in kidney injuries. If the patient has stable haemodynamic parameters after gunshot kidney injury, conservative management is an alternative method for these patients.
机译:一名39岁的老人于2016年4月被送往土耳其.orum的Hitit大学.orum训练与研究医院的急诊科,患有多发枪伤(GSI)。计算机断层扫描(CT)显示腹部和左肾有多个multiple弹药颗粒(图1和2)。患者体格检查正常,计划进行腹部探查。开腹手术并打开Gerota筋膜。肾脏是正常的,仅在后表面显示出枪击的爆炸作用。一个月后,计算机断层扫描显示左肾正常,具有后部缺损(图3)。GSI是仅次于机动车事故的年轻男性的主要死亡原因,并且快速响应代码:出血和尿液从收集系统渗出。肾脏损伤的两个主要问题。如果枪击性肾损伤后患者的血流动力学参数稳定,则保守治疗是这些患者的另一种方法。

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