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CLINICAL IMAGE
Year : 2017  |  Volume : 146  |  Issue : 3  |  Page : 433

Blast effect of shotgun injury in kidney mimicking avulsion of the low pole


1 Department of Urology, Hitit Universtiy, Çorum Training & Research Hospital, Çorum, Turkey
2 Department of Surgery, Hitit Universtiy, Çorum Training & Research Hospital, Çorum, Turkey

Date of Submission30-May-2016
Date of Web Publication18-Jan-2018

Correspondence Address:
Selahattin Caliskan
Department of Urology, Hitit Universtiy, Çorum Training & Research Hospital, Çorum
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_860_16

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How to cite this article:
Caliskan S, Türkmen M. Blast effect of shotgun injury in kidney mimicking avulsion of the low pole. Indian J Med Res 2017;146:433

How to cite this URL:
Caliskan S, Türkmen M. Blast effect of shotgun injury in kidney mimicking avulsion of the low pole. Indian J Med Res [serial online] 2017 [cited 2019 Oct 20];146:433. Available from: http://www.ijmr.org.in/text.asp?2017/146/3/433/223642

A 39 yr old man presented to the Emergency department, of Çorum Training and Research Hospital, Hitit University, Çorum, Turkey, in April 2016, with multiple gunshot injuries (GSIs). Computed tomography (CT) showed multiple pellets of shotgun in the abdomen and the left kidney [Figure 1] and [Figure 2] Physical examination of the patient was normal and abdominal exploration was planned. Laparotomy was done and Gerota' fascia was opened. The kidney was normal and only showed blast effect of gunshot on the posterior surface. After one month, computed tomography revealed normal left kidney with posterior defect [Figure 3].
Figure 1: Computed tomography image of the left kidney after the shotgun injury. Arrow shows the avulsion.

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Figure 2: The coronal images of the kidney. Arrow shows the bullet.

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Figure 3: Computed tomography image of the injured kidney (arrow) after one month from the trauma.

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GSIs are the leading cause of death among young males next only to motor vehicle accidents, and bleeding and urinary extravasation from the collecting system are the two major problems in kidney injuries. If the patient has stable haemodynamic parameters after gunshot kidney injury, conservative management is an alternative method for these patients.




    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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