Emergency management and successful nephrectomy-splenectomy for blunt renal and splenic trauma caused by stabbing in an adolescent

Abstract

This case report presents the management of a 17-year-old adolescent stabbed by a sharp knife resulting in hemorrhagic shock. Upon arrival at the emergency department, the patient had a 3 cm left flank wound and was hemodynamically unstable. Due to the urgency of the situation, surgical exploration was performed without prior imaging. The exploration revealed a 4 cm renal injury and a 3 cm splenic injury, leading to the performance of nephrectomy and splenectomy for urgent hemostasis. The patient was subsequently admitted to the intensive care unit for 10 days and made a successful recovery. This case emphasizes the importance of promptly and appropriately managing renal and splenic trauma caused by stabbing incidents.