Andrew Trecartin

Division of Pediatric Surgery, Department of Surgery, Quillen College of Medicine,, East Tennessee State University, Johnson City, TN, USA

Publications

• Case Report   
  Challenges of High-Grade Renal Trauma Management in a Resource-Limited Setting: A Case Report and Review of the Literature
  Author(s): Caleb Brown*, Jennifer Osher, Ismael Kaitama, Gregory Shank and Andrew Trecartin
  
  Ureteral injuries from blunt trauma are rare (<1% of urologic trauma) and even less common in children. In resource-limited settings such as rural Chad, limited diagnostics, absence of fluoroscopy, and delayed presentation complicate management. We present the case of a 13-year-old male who presented with fever, tachycardia and severe right-sided abdominal and flank pain four days after falling from a mango tree and striking his right flank. Bedside ultrasound showed severe right hydronephrosis and Foley catheterization yielded gross hematuria. A percutaneous nephrostomy was inserted under real-time ultrasound guidance. Additionally, a battery-powered flexible scope was utilized to place a double-J ureteral stent, as fluoroscopy is not available in this setting. The intervention proved to be lifesaving acutely and the patient was discharged with plans for delayed ureteral reconst.. Read More»
  DOI: 10.14534/j-pucr.20222675668

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