Korean J Urol.  1991 Feb;32(1):88-93.

Result of treatment according to grade of the renal injury

• Han M
• Rim JS

Abstract

Between May 1984 and December 1989, 57 consecutive renal injury patients (55 with blunt and 2 with penetrating trauma) were evaluated. The injuries in this series were classified as contusion, laceration, rupture and pedicle injuries ac cording to Cass`s classification. Among 57 patients, 30 patients were classified into contusion, 14 patients laceration, 10 patient rupture and 3 patients pedicle injury. All contusion and laceration injuries were treated conservatively, 8 patients with rupture were managed conservatively and 2 patients with rupture were managed operatively (1 case: nephrectomy, 1 case: renorraphy). Among 3 patients with pedicle injury. 2 patients performed nephrectomy and 1 patients was died. Among 57 patients, comlications were developed in 5 patients (urinoma in 1, UPJ obstruction in 1. hematoma in bladder in 1, renal infection in 2) The management of comlications were renorraphy in l and conservatively in 4.

Keyword

renal injury; conservative management

MeSH Terms

Classification
Contusions
Hematoma
Humans
Lacerations
Nephrectomy
Rupture
Urinary Bladder