Fate of functionless post-traumatic renal segment.
Three hundred forty cases of renal trauma encountered over a ten-year period included 13 patients with documented functionless segments managed nonoperatively. Two complications (15%) required partial nephrectomy for hypertension and selective therapeutic embolization for delayed hemorrhage. No complications have developed in the remainder over significant periods of observation, during which the involved segments have remained functionally inert. It is concluded that a satisfactory clinical resolution may be anticipated in properly selected cases managed nonoperatively. Six cases are described.
D000293:Adolescent; D000328:Adult; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D005260:Female; D006417:Hematuria / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology* / Q000601:surgery; D007668:Kidney / Q000293:injuries* / Q000503:physiopathology; D007677:Kidney Function Tests; D008297:Male; D009392:Nephrectomy; D013997:Time Factors