Injuries of the kidneys. An analysis of 117 cases.
Renal trauma in 117 patients who underwent laparotomy is reviewed. Sixty-six per cent of the injuries occurred in motor vehicle accidents and were usually associated with other damage, most commonly to the liver and spleen. Dipstick urine tests were too sensitive for diagnostic purposes. Intravenous pyelography was performed in all patients with macroscopic haematuria and, in the absence of hypotension, when there was no concentration of dye, this was followed by renal angiography. Thrombosis of the renal artery occurred in 4 patients. The overall mortality rate was 13%.
Wilkinson
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D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D014949:Wounds, Nonpenetrating; D014950:Wounds, Penetrating