Author(s)

Doudou Gueye^*, Florent Tshibwid A. Zeng, Ibrahima Bocar Wellé, Papa Alassane Mbaye, Lissoune Cissé, Christ Tsague Momo, Ndeye Aby Ndoye, Aloïse Sagna, Gabriel Ngom

Department of Pediatric Surgery, Albert Royer National Children’s Hospital Centre, Université Cheikh Anta Diop, Dakar, Senegal.

High-grade renal trauma rarely occurs due to low-velocity mechanisms. With its clinical presentation, delayed diagnosis rarely happens. We report the case of a 12-year-old girl diagnosed seven days post-trauma with grade IV renal trauma complicated with infected urinoma and bilateral lower polar vessels. She was non-operatively managed with ultrasound-guided percutaneous drainage of the urinoma, which resolved, and had unremarkable six months follow-up. We discuss the role of preexistent hydronephrosis in low-velocity impact, pitfalls of diagnosis in resource-constrained settings, and management of high-grade trauma.

Renal Trauma, Lower Polar Artery, Urinoma, Delayed Diagnosis, Case Report

Gueye, D. , Zeng, F. , Wellé, I. , Mbaye, P. , Cissé, L. , Momo, C. , Ndoye, N. , Sagna, A. and Ngom, G. (2022) Delayed Management of High-Grade Renal Trauma in a Child with Bilateral Lower Polar Artery: A Case Report. Open Journal of Urology, 12, 556-562. doi: 10.4236/oju.2022.1211055.