Dr. Zimmermann and Dr. Campos-Juanatey discuss a grade 4 renal trauma case

In this podcast, Dr. Kristin Zimmermann (DE) and Dr. Felix Campos-Juanatey (ES) discuss a grade 4 renal trauma case in a young woman who was kicked by a horse. They talk through the decision-making process for her diagnosis, treatment and follow-up, as well as the complications encounted.<br/><br/>Diagnostics included FAST (Focused Assessment Sonography in Trauma), and <br/>then the American Association of Surgery of Trauma classification (AAST) was applied for clinical decision-making and planning further management. The patient underwent a CT scan, which revealed a blunt grade 4 trauma with urinary extravasation. <br/><br/>The conservative approach involved bed rest, thrombo-prophylaxis, and a long course of antibiotics due to the risk of infection, but the patient experienced a drop in haemoglobin levels. This prompted more investigations and a repeat CT scan, which revealed active bleeding. <br/><br/>Subsequently, an embolisation procedure successfully stopped the bleeding. The patient recovered well, and after monitoring her condition, she was discharged with pain medication. Follow-up appointments and tests were planned to assess her long-term recovery.<br/><br/>Dr. Zimmermann and Dr. Campos-Juanatey are members of the EAU Guidelines panel on Urological Trauma.