Renal trauma during a rugby tackle
Rugby-related renal trauma is rare and identification of a young patient with renal trauma secondary to sports who requires observation versus further radiological evaluation in the emergency department (ED) poses a diagnostic challenge. We report a case of a 16-year-old girl who presented to the ED...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2023-09-01
|
| Series: | Emergency Care Journal |
| Subjects: | |
| Online Access: | https://pagepressjournals.org/index.php/ecj/article/view/11577 |
| _version_ | 1797687028375093248 |
|---|---|
| author | Sohil Pothiawala Rebecca Schroll |
| author_facet | Sohil Pothiawala Rebecca Schroll |
| author_sort | Sohil Pothiawala |
| collection | DOAJ |
| description | Rugby-related renal trauma is rare and identification of a young patient with renal trauma secondary to sports who requires observation versus further radiological evaluation in the emergency department (ED) poses a diagnostic challenge. We report a case of a 16-year-old girl who presented to the ED with abdominal pain after being tackled during a game of rugby. Examination revealed tenderness over the right lateral lower ribs and right flank. Blood tests were normal and bedside ultrasound did not show any free intraperitoneal fluid. Urinalysis showed gross hematuria. She was pain-free after analgesia but had a syncopal episode in the ED. A computed tomography (CT) scan of the abdomen and pelvis showed a complex right lower pole renal laceration and she was admitted to the Intensive Care Unit. She remained stable and was discharged. Assessment with urinalysis, hematocrit, and creatinine is required during the evaluation of a patient with suspected renal trauma. CT scan is the imaging modality for the diagnosis and grading of renal injury. Conservative treatment is the mainstay of therapy, but some patients require angioembolization of surgical intervention. Patients must discuss with their physician regarding the optimal timing of return to rugby. Rugby-related renal trauma is rare and poses a challenge for emergency physicians regarding their evaluation and management in the ED. AAST-OIS grading of renal trauma on CT imaging helps guide appropriate management decisions.
|
| first_indexed | 2024-03-12T01:13:23Z |
| format | Article |
| id | doaj.art-114dcbbd62ef4f8c89d0182243b380a7 |
| institution | Directory Open Access Journal |
| issn | 2282-2054 |
| language | English |
| last_indexed | 2024-03-12T01:13:23Z |
| publishDate | 2023-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj.art-114dcbbd62ef4f8c89d0182243b380a72023-09-13T22:58:18ZengPAGEPress PublicationsEmergency Care Journal2282-20542023-09-0110.4081/ecj.2023.11577Renal trauma during a rugby tackleSohil Pothiawala0Rebecca Schroll1Trauma & Emergency Services, Auckland City Hospital, Auckland, New Zealand; Department of Emergency Medicine, Woodlands HealthTrauma Surgeon, Auckland City Hospital, AucklandRugby-related renal trauma is rare and identification of a young patient with renal trauma secondary to sports who requires observation versus further radiological evaluation in the emergency department (ED) poses a diagnostic challenge. We report a case of a 16-year-old girl who presented to the ED with abdominal pain after being tackled during a game of rugby. Examination revealed tenderness over the right lateral lower ribs and right flank. Blood tests were normal and bedside ultrasound did not show any free intraperitoneal fluid. Urinalysis showed gross hematuria. She was pain-free after analgesia but had a syncopal episode in the ED. A computed tomography (CT) scan of the abdomen and pelvis showed a complex right lower pole renal laceration and she was admitted to the Intensive Care Unit. She remained stable and was discharged. Assessment with urinalysis, hematocrit, and creatinine is required during the evaluation of a patient with suspected renal trauma. CT scan is the imaging modality for the diagnosis and grading of renal injury. Conservative treatment is the mainstay of therapy, but some patients require angioembolization of surgical intervention. Patients must discuss with their physician regarding the optimal timing of return to rugby. Rugby-related renal trauma is rare and poses a challenge for emergency physicians regarding their evaluation and management in the ED. AAST-OIS grading of renal trauma on CT imaging helps guide appropriate management decisions. https://pagepressjournals.org/index.php/ecj/article/view/11577Sportstraumakidneyhematuria |
| spellingShingle | Sohil Pothiawala Rebecca Schroll Renal trauma during a rugby tackle Emergency Care Journal Sports trauma kidney hematuria |
| title | Renal trauma during a rugby tackle |
| title_full | Renal trauma during a rugby tackle |
| title_fullStr | Renal trauma during a rugby tackle |
| title_full_unstemmed | Renal trauma during a rugby tackle |
| title_short | Renal trauma during a rugby tackle |
| title_sort | renal trauma during a rugby tackle |
| topic | Sports trauma kidney hematuria |
| url | https://pagepressjournals.org/index.php/ecj/article/view/11577 |
| work_keys_str_mv | AT sohilpothiawala renaltraumaduringarugbytackle AT rebeccaschroll renaltraumaduringarugbytackle |