Dificultad en el Diagnóstico y manejo de Trauma Renal en el primer y segundo nivel de atención de salud

Abstract

The kidney is the genitourinary and abdominal organ most frequently injured. In patients with renal trauma is a ratio males: females 3: 1. Renal trauma can be life-threatening in the short term, although most kidney injuries can be treated conservatively. Renal trauma occurs with an estimated incidence of 4.9 per 100,000 population. It occurs mainly in young patients. The higher prevalence in men is attributed to the development of high-risk activities (high-speed motor sports, contact sports, violence) although some studies show that this trend is decreasing. The initial assessment of hemodynamic status of these patients at the time of hospital admission is the major determinant to define the therapeutic approach to follow: patients entering stable can be managed conservatively with good results and unstable patients must be surgically explored in order to rule out serious kidney injuries are because of their inestability. This clinical case is a patient of 34 who suffers a physical assault under the influence of alcohol, causing further kidney trauma grade IV, to which presents hemodynamic alteration, and whose renal involvement and management is studied which it was made with the interest to discuss current and possible therapeutic maneuvers that could have been done in the first and second level of health care and preventing further complications