<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852022000400007</article-id>
<article-id pub-id-type="doi">10.48193/revistamexicanadeurologa.v82i4.812</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trauma renal grado IV: trauma cerrado de abdomen]]></article-title>
<article-title xml:lang="en"><![CDATA[Kidney trauma grade IV: abdomen closed trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias-Martínez]]></surname>
<given-names><![CDATA[Kevin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caracheo-Hernández]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta-Martínez]]></surname>
<given-names><![CDATA[Elissa Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 4 ]]></institution>
<addr-line><![CDATA[Guadalupe Nuevo León]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Secretaría de Salud Hospital General de Tampico &#8220;Dr. Carlos Canseco&#8221; ]]></institution>
<addr-line><![CDATA[ Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>82</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852022000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852022000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852022000400007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción del caso clínico: Nuestro paciente de 16 años presentó un cuadro de 48 horas de evolución, al sufrir caída de una bicicleta en movimiento impactando sobre su costado izquierdo contra el pavimento. La tomografía de abdomen revela presencia de hematoma perirrenal en expansión. Se realiza laparotomía exploratoria, observando hemoperitoneo y hematoma renal izquierdo, lesión del hilio renal con sangrado activo y hematoma en expansión. Se decide realizar nefrectomía izquierda.  Relevancia: Los traumatismos renales son las lesiones genitourinarias más frecuentes. Cerca del 90% son traumatismos cerrados.  Implicación clínica: Aunque la mayoría de los traumas renales son limitados y rara causa de muerte, si no se diagnostican y tratan adecuadamente ocasionan una elevada morbilidad por las complicaciones tardías: hipertensión arterial, hidronefrosis, pseudonefrosis traumática, atrofia y litiasis renales.  Conclusiones: Los pacientes jóvenes, sufren mayor riesgo de lesiones abdominales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Description of the clinical case: A 16-year-old patient presented trauma with 48-hour evolution, after a fall from a moving bicycle, impacting on his left side against the pavement. The abdominal tomography revealed the presence of an expanding perirenal hematoma. An exploratory laparotomy was performed, observing hemoperitoneum and left renal hematoma, renal ileus injury with active bleeding, and expanding hematoma. It was decided to perform left nephrectomy.  Relevance: Kidney trauma is the most common genitourinary injury. About 90% are blunt trauma.  Clinical implications: Although most kidney traumas are limited and a rare cause of death, when they are not properly diagnosed and treated, they cause high morbidity due to late complications: arterial hypertension, hydronephrosis, traumatic pseudonephrosis, renal atrophy and renal lithiasis.  Conclusion: Young patients are in greater risk of abdominal injuries.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Kidney injury]]></kwd>
<kwd lng="en"><![CDATA[Nephrectomy]]></kwd>
<kwd lng="en"><![CDATA[blunt abdominal trauma]]></kwd>
<kwd lng="en"><![CDATA[hematuria]]></kwd>
<kwd lng="es"><![CDATA[Lesión renal]]></kwd>
<kwd lng="es"><![CDATA[nefrectomía]]></kwd>
<kwd lng="es"><![CDATA[traumatismo cerrado abdominal]]></kwd>
<kwd lng="es"><![CDATA[hematuria]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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