Main Article Content

Abstract

Background: Severe kidney injury after blunt trauma poses a diagnostic and therapeutic challenge to a multidisciplinary team, especially regarding the urgency between operative and nonoperative approaches. In patients with severe acute kidney injury (AKI) but no urgent indication for renal replacement therapy (RRT), the optimal timing of initiation of RRT is controversial. This study aimed to present a case of hemodynamically stable blunt abdominal trauma treated with renal replacement therapy and supportive therapy to control complications in the intensive care unit of Dr. Moewardi General Hospital with a multidisciplinary team approach.


Case presentation: A 34-year-old woman with grade V, AKIN-III, and hemodynamically stable renal laceration caused by blunt abdominal trauma, treated with nonoperative conservative therapy for 14 days in the ICU of a tertiary hospital. 


Conclusion: Nonoperative management can be applied without the risk of increased morbidity and mortality in patients. Significant kidney-related complications, in this case, included electrolyte balance disturbances, pulmonary edema to sepsis but were successfully treated with additional interventions. Hemodynamically stable patients with grade V renal injury can be safely managed supportively and non-operatively.

Keywords

Abdominal blunt trauma Acute kidney injury Renal replacement therapy

Article Details

How to Cite
Yudhistira, M. Y., Yohanes Baptista, & RTH Supraptomo. (2022). Renal Replacement Therapy in Abdominal Blunt Trauma with Uncompromised Hemodynamics: A Case Report. Bioscientia Medicina : Journal of Biomedicine and Translational Research, 6(12), 2457-2464. https://doi.org/10.37275/bsm.v6i12.627