A horseshoe kidney (HSK) is a urological malformation that is typically found incidentally after a traumatic injury due to its asymptomatic nature. We present a 25-year-old male with multiorgan injuries secondary to blunt abdominal trauma caused by a gunshot wound. We report the courses of action taken that led to the identification of the HSK and other associated intra-abdominal injuries and the subsequent surgical management. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an improving minimally invasive technique that was used to control hemorrhage in the early preoperative stages and during surgical repair of the injuries. Multiorgan injuries that involve an HSK are uncommon. Our interest in the case relies on the rarity and unique aspects of the injuries and the recovery of the patient following the use of REBOA.
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http://dx.doi.org/10.7759/cureus.3399 | DOI Listing |
J Trauma Acute Care Surg
February 2025
From the Department of Surgery, Division of Acute Care Surgery, University of Florida College of Medicine (C.A.C.), Gainesville, Florida; Methodist Dallas Medical Center (M.L.), Dallas, Texas; Department of Surgery, Loma Linda University School of Medicine (R.C.), Loma Linda, California; Department of Surgery, Division of Trauma, Acute Care & Critical Care Surgery, Tulane University School of Medicine (J.C.D.), New Orleans, Louisiana; Department of Surgery, Division of Vascular Surgery, University of Maryland School of Medicine (C.F.), Baltimore, Maryland; University of Kansas Medical Center (J.H.), Kansas City, Kansas; Department of Surgery, Division of Emergency General Surgery and Acute Care Surgery, University of Alabama at Birmingham (J.B.H.), Birmingham, Alabama; Department of Surgery, Division of Trauma and Acute Care Surgery, University of Alabama (J.B.H.), Bethesda, Maryland; Department of Surgery, Division of Trauma, Surgical Critical Care and Acute Care Surgery, University of Arizona College of Medicine-Phoenix (N.K.), Phoenix, Arizona; Division of Acute Care Surgery, Department of Surgery (M.J.M., M.S.), Los Angeles General Medical Center, Los Angeles, California; Division of Vascular Surgery and Endovascular Therapy (G.A.M.), Keck Medical Center of USC, Los Angeles, California; Department of Surgery, Division of Acute Care Surgery (L.J.M.), The University of Texas McGovern Medical School-Houston Red Duke Trauma Institute, Memorial Hermann Hospital, Houston, Texas; Department of Surgery, Division of General and Acute Care Surgery, Medical University of South Carolina (A.R.P.), North Charleston, South Carolina; Department of Surgery, Section of General Surgery, Trauma and Surgical Critical Care, Yale School of Medicine (K.M.S.), New Haven, Connecticut; Department of Surgery, Division of Trauma and Acute Care Surgery, UCSF Department of Surgery at Zuckerberg San Francisco General Hospital (R.T.), University of California, San Francisco, San Francisco, California; Department of Surgery, Division of Trauma and Acute Care Surgery, St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, Arizona; and Program in Trauma (D.M.S), University of Maryland School of Medicine, Baltimore, Maryland.
Ann Vasc Surg
January 2025
Institute of Cardiac and Aortic Disorders, SRM Institutes for Medical Science (SIMS Hospitals), Chennai, India.
Background: Nonocclusive mesenteric ischemia (NOMI), a subtype of acute mesenteric ischemia, is primarily caused by mesenteric arterial vasoconstriction and decreased vascular resistance, leading to impaired intestinal perfusion.Commonly observed after cardiac surgery, NOMI affects older patients with cardiovascular or systemic diseases, accounting for 20-30% of acute mesenteric ischemia cases with a mortality rate of ∼50%. This review explores NOMI's pathophysiology, clinical implications in aortic dissection, and the unmet needs in diagnosis and management, emphasizing its prognostic significance.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
January 2025
Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chiba, 260-8677, Japan.
Purpose: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is beneficial for uncontrollable torso bleeding; however, prolonged REBOA causes ischemia-reperfusion injury. The purpose of this study is to examine the hypothesis that continuous renal replacement therapy (CRRT) with a cytokine-adsorbing hemofilter would improve mortality due to hemorrhagic shock with REBOA-reperfusion injury by controlling metabolic acidosis, hyperkalemia, and hypercytokinemia.
Methods: Hemorrhagic shock with 40% blood loss was induced by phlebotomy in eight female swine.
Trauma Surg Acute Care Open
January 2025
Trauma and Emergency Surgery, Chang Gung Memorial Hospital Linkou, Taoyuan, Taiwan.
Introduction: Pelvic fractures often result in life-threatening bleeding and hemodynamic instability. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a promising strategy for patients with severe pelvic fractures, facilitating subsequent hemostatic interventions. Transcatheter arterial embolization (TAE) is a well-established procedure for managing pelvic fractures accompanied by hemorrhage.
View Article and Find Full Text PDFCirc Cardiovasc Interv
January 2025
Division of Cardiovascular Medicine (E.Y., L.E., J.M.H., S.B.), New York University.
Background: The aim of this study was to examine the impact of early versus delayed catheter-based therapies (CBTs) on clinical outcomes in patients with acute intermediate-risk pulmonary embolism (PE).
Methods: This retrospective cohort study analyzed data from 2 academic centers involving patients with intermediate-risk PE from January 2020 to January 2024. Patients were divided into early (<12 hours) and delayed CBT (≥12 hours) groups.
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