Korean J Urol.
1988 Oct;29(5):792-800.
Renal Injuries: 80 Cases
- Affiliations
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- 1Department of Urology, College of Medicine, Seoul National University, Hospital, Seoul, Korea.
Abstract
- We reviewed retrospectively the medical records of 80 consecutive patients with renal injuries, managed at Seoul National University Hospital during a 22 year period from 1965 to 1987. All patients but one who had stab wound presented with a history of blunt injury and the most common cause of injury was fall-down(48%). Renal contusion was most common type of injury(45%) and there were 3 patients(4%) with pedicle injury. All patients presented with hematuria and in 67 patients of 80 the hematuria was gross. Initial diagnostic procedure was excretory urography in 71 patients. Representative cases were illustrated in details. After reviewing and analyzing indications and efficiency of various diagnostic studies in these patients, several conclusions can be made for adequate radiologic plan. In cases of microscopic hematuria without shock, further diagnostic work-up may not be necessary. Computed tomography may be performed initially without excretory urography when multiple or major injuries are suspected. Ultrasonography may be complementary after excretory urography in minor injuries. If findings of excretory urography or ultrasonography were suggestive of major injury or not conclusive, computed tomography is indicated. Angiography may be indicated only when renal pedicle injury is suspected.
