The Answer of Spot diagnosis 17

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This patient had a complete Right Kidney rupture with intact Gerota’s fascia and was completely stable. As surgical intervention may end with nephrectomy , a conservative was choosen with bed rest immobilization. After 3 weeks of uneventful bed rest, a CT scan was done Followed by open exploration with evacuation of large amount of fluid and adeaptaion of the two remaining poles with a vicryl net, as well as DJ stent insertion. Seven days later,  perirenal abscess had be drained. The recovery was uneventful. (European Urology Today, Vol. 27 No. 1, 2015 case study No. 41 by Oliver Hakenberg, Department of Urology, Rostock University Hospital, Germany)


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