Effect of colon injury on the management of simultaneous renal trauma.
OBJECTIVE
We determined the effect of simultaneous colon injury on the management of renal trauma.


METHODS
A retrospective review was done of 62 cases of colon and renal injuries from 1977 to 1994, representing 2.5% of 2,596 renal trauma cases.


RESULTS
Renal trauma management was consistent with the grade of renal injury. Renal exploration was performed in 58% of the cases, with nephrectomy performed in 16% of the explorations and only for severely injured kidneys. Urological complications occurred in 16% of the cases but they resulted in loss of only 1 renal unit.


CONCLUSIONS
Renal injury and reconstruction should not be treated differently in the face of colon injury, including gross fecal contamination.
Wessells
H
H
Department of Urology, University of California School of Medicine, San Francisco 94143-0738, USA.
McAninch
J W
JW
D000328:Adult; D000704:Analysis of Variance; D003106:Colon / Q000293:injuries*; D005260:Female; D006417:Hematuria / Q000453:epidemiology; D006801:Humans; D007416:Intestinal Perforation / Q000453:epidemiology; D007668:Kidney / Q000293:injuries*; D008297:Male; D009392:Nephrectomy; D011183:Postoperative Complications / Q000453:epidemiology; D011859:Radiography; D012189:Retrospective Studies; D012307:Risk Factors; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*