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Ignat'ev R.O.

Tsentral'naia klinicheskaia bol'nitsa s poliklinikoĭ Upravleniia delami Prezidenta RF, Moskva

Miloserdov I.A.

Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow, Russia

Korsunsky A.A.

Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University» of the Ministry of Health of the Russian Federation, Moscow, Russia;
G.N. Speransky City Children’s Clinical Hospital No 9, Moscow Healthcare Department, Moscow, Russia

Bataev S.M.

Tsentral'naia klinicheskaia bol'nitsa s poliklinikoĭ Upravleniia delami Prezidenta RF, Moskva

Saydulaev D.A.

Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow, Russia

Ivanov D.Yu.

Speransky Clinical Children’s Hospital No. 9, Moscow, Russia

Initial experience of renal autotransplantation in a child with ureteric rupture secondary to abdominal blunt trauma

Authors:

Ignat'ev R.O., Miloserdov I.A., Korsunsky A.A., Bataev S.M., Saydulaev D.A., Ivanov D.Yu.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(1): 74‑79

DOI: 10.17116/hirurgia202001174

Views: 1514

Downloaded: 26

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To cite this article:

Ignat'ev RO, Miloserdov IA, Korsunsky AA, Bataev SM, Saydulaev DA, Ivanov DYu. Initial experience of renal autotransplantation in a child with ureteric rupture secondary to abdominal blunt trauma. Pirogov Russian Journal of Surgery. 2020;(1):74‑79. (In Russ.)
https://doi.org/10.17116/hirurgia202001174

Подписка 2025 (Pirogov Russian Journal of Surgery)
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A 8-year-old child with multiple skeletal injuries after car accident is presented in the article. Extensive right-sided urohematoma with impaired kidney function was diagnosed after 15 days. External drainage of urohematoma, ureteroscopy and examination of the right kidney were consecutively performed within 1.5 months. A complete rupture of the right ureter at the level of pyeloureterostomy was diagnosed. Right kidney autotransplantation with ureteral resection and pyeloureteral anastomosis were performed in 2 months after injury. Duration of surgery was 7.5 hours, cold ischemia — 55 min. Postoperative examination confirmed satisfactory function of the right kidney. This observation is relatively rare and the first in Russia.

Keywords:

injury
ureter
kidney autotransplantation
child

Authors:

Ignat'ev R.O.

Tsentral'naia klinicheskaia bol'nitsa s poliklinikoĭ Upravleniia delami Prezidenta RF, Moskva

Miloserdov I.A.

Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow, Russia

Korsunsky A.A.

Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University» of the Ministry of Health of the Russian Federation, Moscow, Russia;
G.N. Speransky City Children’s Clinical Hospital No 9, Moscow Healthcare Department, Moscow, Russia

Bataev S.M.

Tsentral'naia klinicheskaia bol'nitsa s poliklinikoĭ Upravleniia delami Prezidenta RF, Moskva

Saydulaev D.A.

Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow, Russia

Ivanov D.Yu.

Speransky Clinical Children’s Hospital No. 9, Moscow, Russia

List of references:

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  3. Beamud-Gomez A, Martinez-Verduch M, Estornell-Moragues F, Olague-Ros R, Garcia-Ibarra F. Rupture of the ureteropelvic junction by nonpenetrating trauma. Journal of Pediatric Surgery. 1986;21(8):702-705. https://doi.org/10.1016/s0022-3468(86)80391-8
  4. Brandes S, Coburn M, Armenakas N, McAninch J. Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int. 2004;94(3):277-289. https://doi.org/10.1111/j.1464-410x.2004.04978.x
  5. Palmer LS, Rosenbaum RR, Gershbaum MD, Kreutzer ER. Penetrating ureteral trauma at an urban trauma center: 10-year experience. Urology. 1999;54(1):34-36. https://doi.org/10.1016/S0090-4295(99)00025-4
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  11. Li Ming-lei, Sun Ning; Zhang Wei-ping, Huang Cheng-ru, Bai Ji-wu, Liang Ruo-xin, Tian Jun, Xie Xiang-hui, Song Hong-cheng, Li Ning. Preservation of the kidney with delayed diagnosis of traumatic pelvi-ureteric junction disruption secondary to blunt abdominal trauma in children. Chinese Medical Journal. 2011;124(15):2290-2296. https://doi.org/10.3760/cma.j.issn.0366-6999.2011.15.009 https://insights.ovid.com/pubmed?pmid=21933559
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