Analysis of Renal Trauma in Adult Patients: A 6-Year Own Experiences of Trauma Center.
OBJECTIVE
Abdominal trauma itself accounts for approximately 3% of all trauma cases. Among cases of multiple organ trauma, abdominal trauma accounts for 8-10% of cases. The frequency of genitourinary tract trauma is 10%. The renal trauma is 1-5% of all trauma cases. The aim of this study was to determine treatment's strategy according to analysis of renal trauma severity.


METHODS
Since 2008, the Military Institute of Medicine, followed by the Trauma Center, treated 1119 trauma patients, of which 52 were renal trauma cases. In most cases, renal trauma was concomitant with multiple organ trauma.


RESULTS
Of the 52 renal trauma cases, 35 (67%) were caused by transportation, 5 (10%) by falls, 8 (15%) by iat­rogenic factors, 2 (4%) by batteries, and 2 by idiopathic factors. In our study cohort, 31 cases (60%) experienced renal trauma concomitant with multiple organ trauma. Renal trauma involved injury to both kidneys in 9 (20%) patients, and to only 1 kidney in 34 (80%) patients.


CONCLUSIONS
The use of computed tomography scan in combination with strict observation of conservative treat­ment protocols and intravascular techniques results in effective treatment of renal trauma.
Departments of Urology, Military Medical Institute, Szaserów Street 128, 04-141 Warsaw, Poland. urodent@wp.pl.
Tomasz
T
Ząbkowski
Departments of Urology, Military Medical Institute, Szaserów Street 128, 04-141 Warsaw, Poland.
Ryszard
R
Skiba
Departments of Nephrology Military Medical Institute, Szaserów Street 128, 04-141 Warsaw, Poland.
Marek
M
Saracyn
Departments of Urology, Military Medical Institute, Szaserów Street 128, 04-141 Warsaw, Poland.
Henryk
H
Zieliński
D000007:Abdominal Injuries / Q000175:diagnosis / Q000453:epidemiology*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007668:Kidney / Q000293:injuries*; D008297:Male; D009104:Multiple Trauma; D011044:Poland / Q000453:epidemiology; D012189:Retrospective Studies; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014193:Trauma Centers / Q000706:statistics & numerical data*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000453:epidemiology*