Diagnosis and treatment of patients with renal trauma.
In this selective study, 59% of the patients had a renal injury (laceration, rupture or pedicle injury). A normal IVU excluded significant renal injury after blunt trauma. Renal angiography was more accurate than ultrasonography or computed tomography in determining the extent of the injury. A retroperitoneal haematoma found during laparotomy should be explored if significant renal trauma cannot be excluded. Renal salvage after rupture or pedicle injury should be attempted in stable patients.
Leppäniemi
A K
AK
Second Department of Surgery, Helsinki University Central Hospital, Finland.
Haapiainen
R K
RK
Lehtonen
T A
TA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014567:Urography; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery