title: Sonography in blunt renal trauma.
abstract: 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.
mesh_terms: 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*