Laparoscopic surgery for kidney grade Ⅳ rupture combined with renal vein thrombosis and liver rupture: a case report
10.3760/cma.j.cn112330-20231204-00164
- VernacularTitle:腹腔镜手术治疗Ⅳ级肾破裂合并肾静脉血栓及肝破裂1例报告
- Author:
Rui ZHAO
1
;
Ruijian LIU
;
Zhiqiang XING
;
Wei YAN
;
Hongwei WANG
;
Ruidong ZHANG
;
Lulin MA
Author Information
1. 鄂尔多斯市中心医院泌尿外科，鄂尔多斯 017010
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Kidney rupture;
Kidney venous thrombosis;
Liver rupture
- From:
Chinese Journal of Urology
2025;46(2):143-144
- CountryChina
- Language:Chinese
-
Abstract:
A 34-year-old male patient was admitted to the hospital on October 6, 2023 due to fall from a high place. Physical examination showed blood pressure 96/53 mmHg (1 mmHg=0.133 kPa), heart rate of 105 beats/min, slight bulge in the right kidney area, and positive percussion pain in the right kidney area. CT examination showed complete rupture of the lower pole of the right kidney, thrombosis of the right renal vein, and contusion and laceration of the right posterior lobe of the liver. According to the American Association for the Surgery of Trauma renal injury classification, he was diagnosed as grade Ⅳ renal rupture. After blood transfusion and fluid infusion, vital signs were stable. Laparoscopic nephrectomy plus renal vein thrombectomy plus liver rupture repair were performed. The operation took 90 minutes, and about 300 ml of blood clots and fresh blood were aspirated during the operation. The patient's vital signs were stable after the operation, and he could get out of bed 3 days after the operation. CT reexamination 1 month after the operation showed right kidney resected and the liver healed well. This operation is feasible if the patient's vital signs are stable, with the advantages of small surgical incision, short operation time, less bleeding, fast postoperative recovery and good surgical effect.
