- Hydronephrosis during Conservative Treatment for a Renal Injury Patient
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Maru Kim, Joongsuck Kim, Sung Jeep Kim, Hang Joo Cho
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J Trauma Inj. 2017;30(2):47-50. Published online June 30, 2017
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DOI: https://doi.org/10.20408/jti.2017.30.2.47
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 Abstract
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- A 21-year-old male visited our emergency room. He could not remember the mechanism of injury. He was found beside a motorcycle. Initial vital sign was stable. Observation and conservative treatment were planned at the intensive care unit (ICU). On the third day at ICU, he complained sudden flank pain. It was colicky and hard to control. Without the pain, he had no specific symptom, sign, or laboratory findings. On computed tomography, renal pelvis was filled with hematoma which induced hydronephrosis. Double-J catheter and percutaneous nephrostomy was implemented by an intervention radiologist. Hematome in the renal pelvis was aspirated during the procedure. Symptom of the patient was subsided after the procedure. He was discharged without specific complications.
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Summary
- Temporary Closure for Sternotomy in Patient with Massive Transfusion Might Be Lethal
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Maru Kim, Joongsuck Kim, Sung Jeep Kim, Hang Joo Cho
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J Trauma Inj. 2017;30(1):12-15. Published online March 31, 2017
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DOI: https://doi.org/10.20408/jti.2017.30.1.12
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Abstract
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- A 58-year-old male visited our emergency room for multiple traumas from explosion. On initial evaluation, hemopneumoperitoneum with liver laceration (grade 4) and colon perforation was identified. Hemopericardium with cardiac tamponade was also identified. Shrapnel was detected in the right ventricle. Damage control surgery was planned due to condition of hypotension. In operation room, control over bleeding was achieved after sternotomy, pericardiotomy, and laparotomy. Massive transfusion was done during operation. After gauze packing, operation was terminated with temporary closure (TC). Sanguineous fluid was drained profusely. Disseminated intravascular coagulopathy was confirmed through laboratory findings. No extravasation was discovered at hepatic angiogram. On re-operation, there was no active bleeding but oozing from sternotomy site was identified. Bone bleeding was impossible to control. Finally, reoperation was ended after gauze packing and TC all over again. The patient could survive for only a day after re-operation.
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