Traumatic veno-caliceal fistula in a solitary kidney

[Pyelovenous fistula revealed by repeated thromboembolic events after emergency peripartum hysterectomy]

We report the case of a 51-year old woman presenting pyelovenous fistula revealed by recurrent and serious thromboembolic events after ureteral ligation during emergency peripartum hysterectomy. Imaging reported a complete left ureteral obstruction, a fistula between the upper calix and the left renal vein and a renal function preserved. Uretero-vesical reimplantation was performed. The patient was well doing after 12 months. The authors wonder if pyelovenous fistula is responsible for prothrombotic state and maintaining renal function.

Apparent exceptions to the usual patterns in renal trauma

Selected cases of renal injuries illustrate the impression that clinical exceptions often may reflect errors in diagnostic interpretation and reaction rather than actual complications, rendering a policy incompetent or dangerously unreliable. These cases, as well as a comparison of debates regarding the management of renal trauma, are intended to offer further encouragement to a non-operative approach to injuries of intermediate degree.

The significance of delayed post-traumatic renal hemorrhage

An impression is presented pertaining to the significance of delayed recurrent post-traumatic renal hematuria, documented by 3 case reports and an appraisal of relevant data selected from prior reports. Adjunctive features may include prolonged initial hematuria despite acceptable radiographic features, a preponderant relationship to penetrating (knife and low velocity missile) wounds and a tendency to respond temporarily to conservative management.