Renal autotransplantation for traumatic ureteral injury with urinothorax as the first symptom in a child: one case report
10.3760/cma.j.cn112330-20250415-00155
- VernacularTitle:自体肾移植治疗以尿胸为首发症状的儿童创伤性输尿管损伤1例报告
- Author:
Yijun ZHAO
1
;
Fan YANG
1
;
Linfeng ZHU
1
;
Jia WEI
1
;
Xiang YAN
1
;
Guangjie CHEN
1
Author Information
1. 浙江大学医学院附属儿童医院泌尿外科 国家儿童健康与疾病临床医学中心 国家儿童区域医疗中心，杭州 310052
- Publication Type:Journal Article
- Keywords:
Urinothorax;
Ureteral injury;
Renal autotransplantation;
Pediartric
- From:
Chinese Journal of Urology
2025;46(8):619-621
- CountryChina
- Language:Chinese
-
Abstract:
A 13-year-old boy was admitted to the hospital due to 1 month after trauma in a traffic accident on September 29，2017. After admission，due to a large amount of pleural effusion through the chest tube，thoracoscopic exploration and fiberboard dissection were performed，and the postoperative pleural effusion was not significantly reduced. The creatinine of pleural effusion was 913 μmol/L，CT showed that left hydronephrosis and perirenal encapsulated effusion were closely related to the ureter，so ureteral injury and urinothorax were considered. Retrograde ureterography revealed a defect of left ureter，approximately 6 cm in length，and left nephrectomy + left kidney rupture repair + renal autotransplantation was performed. 7 years later，the patient recovered well and the renal blood supply was good，no left hydronephrosis was found by MRU. Early diagnosis of ureteral injury is challenging，especially when accompanied by urinothorax. When life is stable，early diagnosis and treatment can reduce the loss of renal function after combined trauma. Renal autotransplantation is safe and effective for the treatment of long segmental ureteral defects.
