Clinical Observation of Renal Injury 34 Cases

Kim, Si Hyeoun; Han, Young Taik

Abstract

A clinical observation was made on 34 patients with renal injury, who were admitted to the Department of Urology, National Police Hospital from January 1982 to December 1986. Most of patients(33 of 34) were male and 22 patients (65%) were in the age group of 3rd decade. Common causes of injury were in order of blow (29.5%), fall down(23.5%), sport mishap(23.5%) and traffic accident (20.5%). Associated injuries were noted in 30% of the cases and rib fracture was most common. Renal injuries were classified as a minor, major and pedicle injury. Of the 34 cases, 30 were minor injury, 4 were major injury, and pedicle injury was absent. Most common symptoms and signs were hematuria and flank pain. Abnormal DIP findings were noted in 11 cases (30%) and renal displacement was showed in 3 cases with perirenal hematoma and incomplete filling and extravasation were revealed in 4 cases with major injury. Of the 30 cases with minor injury conservative treatment was performed in 26, hematoma removal in 3 and nephrectomy in 1 due to UPJ obstruction. Of the 4 cases with major injury conservative treatment was performed in 2 and nephrectomy in 2.