Traumatic renal artery occlusion secondary to blunt trauma in a second-trimester pregnant woman who managed successfully with non-operative management: A rare case report.

Blunt renal injuries in pregnancy are seldom isolated, with resultant renal vascular injury following this type of injury being extremely rare. We present a rare case of complete blockage of the left renal artery about 1 cm from the aortic opening in a second-trimester pregnant woman after she sustained a motor-vehicle-accident. She was managed successfully with NOM. Traumatic renal artery blockage is a rare condition with devastating consequences if missed on imaging. Although blunt renal trauma during pregnancy is a rare condition, NOM has become increasingly popular to reduce morbidity associated with nephrectomy resulting in higher rates of renal salvage.

Management of a patient with a double J stent knotted at the mid-portion.

Ureteral stents are safe, and because of their widespread usage, complications associated with stenting increased. The knotting of the ureteral stent is an uncommon complication. Until today, only three cases of knotting at the mid-portion and distal ends of the ureteral stents were reported. Herein, we report a rare case of a downward migrated ureteral stent with a knot in its middle portion at the level of the distal ureter in a 25-year-old female patient. Her knotted stent was successfully removed by guidewire insertion and ureteroscopy under fluoroscopic guidance.

Successfully managed grade IV renal injury and retained bullet in third-trimester pregnant woman.

Gunshot injury to the kidney in pregnant women is extremely rare describing a significant cause of maternal and fetal morbidity and mortality. This case report demonstrates the management of renal trauma by presenting 24years old third-trimester pregnant women who sustained gunshot wounds to the abdomen. Renal trauma management has evolved in the last decades from immediate surgical exploration to non-operative management (NOM). Based on our patient's outcome, we review the role of conservative management to a high grade of penetrating renal trauma which is potentially life-threatening describing the safety of this approach.