Urological injuries following trauma.
Blunt renal trauma is the third most common injury in abdominal trauma following splenic and hepatic injuries, respectively. In the majority, such injuries are associated with other abdominal organ injuries. As urological injuries are not usually life-threatening, and clinical signs and symptoms are non-specific, diagnosis is often delayed. We present a practical approach to the diagnosis and management of these injuries based on our experience in a busy inner city trauma hospital with a review of the current evidence-based practice. Diagnostic imaging signs are illustrated.
Bent
C
C
Department of Diagnostic Imaging, Barts and The London NHS Trust, London, UK. clare.bent@bartsandthelondon.nhs.uk
Iyngkaran
T
T
Power
N
N
Matson
M
M
Hajdinjak
T
T
Buchholz
N
N
Fotheringham
T
T
D000063:Accidents, Traffic; D001265:Athletic Injuries; D003952:Diagnostic Imaging / Q000379:methods*; D005260:Female; D006417:Hematuria / Q000473:pathology; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D017410:Practice Guidelines as Topic; D015599:Trauma Severity Indices; D014521:Urethra / Q000293:injuries*; D001743:Urinary Bladder / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis*