Sonography in blunt renal trauma.
In 27 patients with blunt renal trauma, sonography was used as diagnostic method. In principle, sonography was performed after the urogram. In 15 cases pathological findings were present: 5 subcapsular and perirenal hematomas; 3 ruptured kidneys and 1 renal pedicle injury; in 6 cases pre-existing lesions of the kidneys were present (1 cyst, 3 hydronephrotic kidneys and 2 tumors). A positive urogram and a pathological sonogram lead to the angiography in particular when the possibility of injury of other organs is suspected, or when urographically a nonfunctioning kidney simulates a lesion of the renal pedicle. The adoption of this diagnostic sequence is most economical, it provides the clearest findings and is the least irksome for the patients.
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006406:Hematoma / Q000175:diagnosis; D006801:Humans; D007668:Kidney / Q000293:injuries*; D007674:Kidney Diseases / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D012421:Rupture / Q000175:diagnosis; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000175:diagnosis*