title: Diagnosis and treatment of patients with renal trauma.
abstract: 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.
authors.affiliation: Second Department of Surgery, Helsinki University Central Hospital, Finland.
authors.forename: A K
authors.initials: AK
authors.lastname: Leppäniemi
authors.forename: R K
authors.initials: RK
authors.lastname: Haapiainen
authors.forename: T A
authors.initials: TA
authors.lastname: Lehtonen
mesh_terms: 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