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CASE REPORT
Renal injury in a patient with lumbar scoliosis
  1. Harjoat Riyat1,
  2. Richard Jones2,
  3. Debashis Sarkar3,4,
  4. Richard Stephenson2
  1. 1General practice, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, UK
  2. 2Urology, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, UK
  3. 3MSc Advanced Surgical Practice, Cardiff University, Cardiff, UK
  4. 4Department of Urology, Wirral University Hospital, Wirral, UK
  1. Correspondence to Richard Jones, rijonesy428{at}hotmail.com

Summary

Kidney laceration following blunt trauma is responsible for up to 3% of trauma cases. The risk factors associated with renal injury are attributed to the risks of mechanical injury. However, anatomical variations that may accelerate the insult of injury are poorly documented. This case report describes a 25-year-old with degenerative lumbar scoliosis who presented with flank pain and visible haematuria following a low-impact injury. The patient had a grade IV renal injury. The curvature of the spine, shown on CT imaging, revealed a reduced retroperitoneal space around the left kidney. This case explores lumbar scoliosis as a risk factor for kidney laceration. We hypothesise that this increased risk is associated with asymmetry of the spine and reduced anatomical space in the retroperitoneum. Patients with lumbar scoliosis may be considered a high-risk category for renal injury, following low-impact trauma.

  • hematuria
  • urological surgery
  • drugs: musculoskeletal and joint diseases
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Footnotes

  • Contributors HR wrote the case report with support and editing by RJ and DS. RS was the supporting consultant.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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