[Kidney traumatism. Evaluation using computerized axial tomography].
Evaluation of kidney injuries has been controversial for a long time and urography, chiefly, and angiography were the most widely used explorations previously. We have evaluated 21 patients suffering from different degrees of renal injury by means of CAT, in conjunction with other explorations. We diagnosed nine renal contusions, five subcapsular hematomas, laceration with perirenal hematoma in three cases and we detected extravasation of the contrast in five patients. CAT showed itself to be the best method in the study of kidney injuries through giving a clearer anatomic definition of the lesions, whilst also carrying out a functional evaluation of the viscera. Obviously, in severe haemodynamically unstable injuries intraoperative evaluation of the lesions is the best diagnostic and therapeutic method.
Zuluaga Gómez
A
A
Departamento de Cirugía, Hospital Clínico Universitario, Granada, España.
Miján Ortiz
J L
JL
Martínez Torres
J L
JL
Puebla Ceverino
M
M
García Victor
F
F
Fernández Mena
V J
VJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*
Traumatismos renales. Valoración mediante tomografía axial computarizada.