Introduction. Renal trauma patients are largely managed conservatively but on occasion have to be embolised or taken to theatre for definitive surgical management, usually in the form of emergency nephrectomy. Review. We present an overview of renal trauma as illustrated by three interesting cases of blunt renal trauma who presented in quick succession of each other to the Emergency Department....

OBJECTIVES To evaluate and compare the incidence and type of kidney-related complications among different modes of management for kidney injuries. DESIGN Trauma registry and medical record review study. SETTING Level I trauma center in Los Angeles, California. PATIENTS All patients with renal trauma injuries treated from January 1, 1993, through December 31, 2006. MAIN OUTCOME MEASURES ...

We dialyzed 6 patients who developed acute renal failure after severe head trauma. 2 patients died relatively quickly (within 2 weeks) without regaining renal function. 4 patients regained renal function, but 2 died in approximately 1 month. The other 2 survived long-term in a vegetative state for 2 and 3 years, respectively. The 2 patients who died earliest had associated severe abdominal trau...

Blunt abdominal trauma results in renal injury in 10% of paediatric cases. Over the last twenty years, the management of paediatric renal trauma has shifted towards a primarily non-operative approach that is now well-established for children up to 18 years old. This retrospective study reviews our experiences of non-operatively managing blunt renal trauma in a very young cohort of patients up t...

CONTEXT The most recent European Association of Urology (EAU) guidelines on urological trauma were published in 2014. OBJECTIVE To present a summary of the 2014 version of the EAU guidelines on upper urinary tract injuries with the emphasis upon diagnosis and treatment. EVIDENCE ACQUISITION The EAU trauma guidelines panel reviewed literature by a Medline search on upper urinary tract injuri...

Children are at higher risk of renal injury from blunt trauma than adults due to a variety of anatomic factors such as decreased perirenal fat, weaker abdominal muscles, and a less ossified thoracic cage. Non-operative management is gaining in popularity for even major injuries, although there are no universally accepted guidelines. We present a retrospective review of pediatric major blunt ren...