The role of haematuria in the diagnosis of blunt renal trauma.
In order to reevaluate the indications for an acute excretory urography (IPV) after blunt renal trauma, with special emphasis on the degree of haematuria, the medical records of 114 patients admitted to The Department of Urology, Odense University Hospital during a 10 year period were reviewed. Fourteen cases of major renal damage were revealed. Thirteen of these patients had macroscopic haematuria. Three of the thirteen patients were in shock and required an acute operation in order to stabilize their blood pressure. In one case, a thirteen year old girl had a major renal lesion which was diagnosed by acute IVP before examination of the urine. The present data support other reports in the literature stating that radiographic imaging is not necessary in the adult sustaining blunt renal trauma with microscopic haematuria and no shock. However, we find good reason for radiographic evaluation of all children after a blunt renal trauma, independent of the degree of haematuria.
Møller
C M
CM
Department of Urology, Odense University Hospital, Denmark.
Mommsen
S
S
Dyreborg
U
U
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging*