BACKGROUND Acute kidney injury (AKI) has been hard to assess due to the lack of standard definitions. Recently, the Risk, Injury, Failure, Loss and End-Stage Kidney (RIFLE) classification has been proposed to classify AKI in a number of clinical settings. This study aims to estimate the frequency and levels of severity of AKI and to study its association with patient mortality and length of sta...

When treating renal injuries, the goals of the urologic surgeon are preservation of maximal renal function with a minimal risk of complications. To meet these, accurate staging is essential. The combined use of clinical and radiologic findings, with intra-operative information where available, will enhance the practitioner's ability to detect, classify, and treat renal injuries appropriately. W...

Between 1990 and 1993, we studied 14 cases of acute renal failure due to prolonged muscular exercise (e.g., squat jumping, sit-ups) and blunt trauma inflicted by law enforcement personnel using sticks or leather belts. None of the patients had a prior history of myopathy, neuropathy, or renal disease. All were critically ill and required renal support in the form of dialysis. Although the morbi...

Crossed renal ectopia is a rare congenital anomaly with an estimated incidence of 1 in 7000.1 It encompasses a spectrum of anomalies when the ureter crosses the midline and inserts into a kidney located on the opposite side of the body.1 Crossed renal ectopia with fusion of the kidneys is the most common form and is usually asymptomatic. We present a case of crossed fused renal ectopia that was...

A new operative procedure in renal surgery has evolved from the extensive recent experience in kidney transplantation. Bench surgery and autotransplantation have not been, as yet, fully exploited by surgeons caring for children. This approach to reconstruction of renal substance and renal vessels has as its greatest dividend conservation of kidney tissue. The operation has specific applicabilit...

Acute renal failure following trauma may be divided into two categories: incipient acute renal failure (IARF) and established acute renal failure. The first section of this paper will deal with the principles of diagnosis and reversal of incipient acute renal failure. The second section will deal with the total metabolic management of patients with acute renal failure inclusive of circulatory a...

INTRODUCTION The incidence of renal injury in a normal population is 4.8% and renovascular injuries comprise 4% of all renal injuries.(1) Segmental renal artery injury is not uncommon in blunt abdominal trauma and most of them can be conservatively managed.(2) There are some reports about unilateral segmental renal artery thrombosis (SRAT) but there are no reports of bilateral SRAT.(3) We will ...

BACKGROUND There is no consensus on the role of routine follow-up imaging during nonoperative management of blunt renal trauma. We reviewed our experience with nonoperative management of blunt renal injuries in order to evaluate the utility of routine early follow-up imaging. METHODS We reviewed all cases of blunt renal injury admitted for nonoperative management at our institution between 1/...