[Hepatic and renal trauma: importance of arteriography in diagnosis and treatment].
OBJECTIVE
The aim of this study was to show the importance of non-invasive approach in diagnosis and treatment of renal and hepatic trauma, using arteriography as primary treatment in moderate-severe grade injury.


METHODS
We observed 24 cases of hepatic and renal trauma in four hospitals in Rome in the 1996. Trauma were classified about their type and gravity (11-19) and ATLS classification for emodinamical conditions (1) were used to classify patients (Tab. I).


RESULTS
12 patients were treated with surgery because of their unstable haemodinamical conditions (III IV classes of ATLS classification) (1). Four patients were treated by arteriographical embolization (in two cases arteriography was primary used) with complete solution of sintomatology.


CONCLUSIONS
Arteriography was an importance procedure in non surgical treatment of hepatic and renal trauma in haemodinamically stable patients. In our study patients treated with arteriographic embolization were definitively restored from hemorrhage. In diagnosis and treatment of these injuries was essential the team collaboration between radiologists and surgeons.
Bellanova
G
G
Scuola di Specializzazione in Chirurgia d'Urgenza Università di Roma Tor Vergata.
Serao
A
A
Picardi
B
B
Picardi
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D017023:Coronary Angiography / Q000379:methods; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging*; D006801:Humans; D015601:Injury Severity Score; D007668:Kidney / Q000098:blood supply / Q000293:injuries / Q000601:surgery; D008099:Liver / Q000098:blood supply / Q000293:injuries / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000000981:diagnostic imaging*