BACKGROUND The purpose of this review is to illustrate and discuss the spectrum of imaging findings, particularly computed tomography (CT), of blunt and penetrating renal trauma, based on our own materials, according to the American Association for Surgery of Trauma (AAST) renal injury grading scale. The article also indicates the conditions in which interventional radiology procedures can be a...

Mechanism of direct blunt renal trauma. An external force (F,) may crush the kidney (K) between the 12th rib and the vertebral column, or a force (F2) may crush the kidney against the paravertebral muscles (quadratus lumborum (QL) or psoas major (in position P but deleted from diagram). In the United Kingdom over 90% of renal injuries are a result of blunt abdominal trauma. Important associated...

We herein present a regional review of the management of renal trauma in the west of Ireland. The majority of renal injuries occur as a result of blunt trauma and are amenable to conservative management. We sought to streamline the management of renal trauma in the west of Ireland. With the current restructuring of the Irish Health Service, it is important to acknowledge the role of the urologi...

Emergency intravenous urography is considered an essential examination in the evaluation of any patient suspected of having suffered renal trauma (Editorial, 1979). This practice is derived from clinical experience in adults. The purpose of this paper is to evaluate the need for emergency urography in children, particularly those suffering from only minor renal trauma. It is based on a retrospe...

Giant hydronephrosis (GH) is a condition in which pelvicalyceal system contains more than 1000 ml of urine. Common causes of GH are uretero-pelvic junction obstruction, renal calculus, abdominal trauma. We are reporting a case of 45 years' male, who presented with abdominal trauma and haematuria and was suspected a urinoma secondary to renal trauma. Examination revealed soft, cystic abdominal l...

The "Evidence-Based Telemedicine - Trauma and Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of renal trauma defined as American Association for the Surgery of Trauma (AAST) injury grade III-V. The first paper was the proposal for the AAST grade 4renal injury substratification into grades 4a (Low...

INTRODUCTION Renal trauma occurs in approximately 1%-5% of all trauma cases. Improvements in imaging and management over the last two decades have caused a shift in the treatment of this clinical condition. MATERIALS AND METHODS A systematic search of PubMed was performed to identify relevant and contemporary articles that referred to the management and evaluation of renal trauma. RESULTS C...

PURPOSE We defined the mechanism and cause of pediatric renal trauma, and developed guidelines for management based on the outcome analysis of operative vs nonoperative management. MATERIALS AND METHODS We retrospectively reviewed 374 pediatric renal injuries at San Francisco General Hospital, comparing operative vs nonoperative management based on clinical presentation, type of renal injury,...

Renal injury can occur during sports activity. Although it is, generally, associated with contact trauma, it is known that the renal injury can be developed during training without a direct trauma. The diagnosis of renal injuries should not be based solely on urine analysis. Computed tomography scan is necessary diagnose possible renal injuries.