title: [Renal injury on a pathological kidney. Incidence, management, and results of treatment].
abstract: The present study reports our experience in the management of 13 patients with trauma to previously asymptomatic pathological kidney (11.6% of 112 cases of renal trauma treated over the period 1980-1990). The diagnostic difficulties and treatments, which are unlike those of trauma to normal kidney, are discussed and the literature reviewed. Hydronephrosis from ureteropelvic junction stenosis was the preexisting pathology that was frequently diagnosed (41.6%), followed by trauma to kidney with tumor (30.7%). Twelve (92%) patients underwent surgery: 2 (15.3%) were emergency and the rest were elective surgery. One patient with hilar sinus cysts received medical treatment. Conservative surgery was performed in 5 renal units (1 with bilateral involvement) and nephrectomy was performed in 8 patients (65.1%). The kidney with a tumor is more compromised by the renal injury. Furthermore, post trauma contusion/laceration of the tumor may present problems relative to tumor stage.
authors.affiliation: Cátedra de Urología, Hospital Universitario San Carlos, Madrid, España.
authors.forename: L
authors.initials: L
authors.lastname: Prieto Chaparro
authors.forename: A
authors.initials: A
authors.lastname: Silmi Moyano
authors.forename: J A
authors.initials: JA
authors.lastname: Delgado Martín
authors.forename: A
authors.initials: A
authors.lastname: Paez Borda
authors.forename: J
authors.initials: J
authors.lastname: Blázquez Izquierdo
authors.forename: J
authors.initials: J
authors.lastname: Salinas Casado
authors.forename: F
authors.initials: F
authors.lastname: Begara Morillas
authors.forename: L
authors.initials: L
authors.lastname: Resel Estevez
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis; D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries*; D007674:Kidney Diseases / Q000150:complications* / Q000175:diagnosis; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D009396:Wilms Tumor / Q000150:complications / Q000175:diagnosis
vernacular_title: Traumatismo renal sobre riñón patológico. Incidencia, manejo y resultados de tratamiento.