INTRODUCTION Opened renal trauma in urban areas reaches 15 to 20% of all renal traumas. It is mainly caused by gunshot wounds or knifes. Gunshot wounds are classified as high energy trauma and are usually associated to other organ injuries. We present our experience in opened renal trauma in the last 24 months. MATERIAL AND METHODS Retrospective study: patients with thoracic, abdominal and th...

Patients with grade IV or V renal injury frequently have associated visceral injuries that can limit options such as open surgical repair or anticoagulation. The use of endovascular stents to treat trauma-induced renal artery thrombosis and intimal damage appears promising. However, data verifying the effectiveness of the treatment is lacking. We present a case of acute renal artery revasculari...

We report a renal laceration identified on a point-of-care ultrasound (POCUS) performed in the emergency department on a 58-year-old female presenting after blunt trauma. Emergency workup demonstrated a right flank abrasion with tenderness to palpation, hematuria, and decreasing hematocrit. A Focused Assessment with Sonography in Trauma (FAST) exam, performed as part of the intake trauma protoc...

The kidney is the most common genitourinary organ injured from external trauma, occurring in 1-5% of all injuries. The vast majority of kidney injuries can be successfully managed nonoperatively. Blunt traumas are more frequent than penetrating. Penetrating trauma is more common in urban areas, is commonly caused by gunshot or stab wounds, and more commonly requires exploration. Blunt trauma re...

The kidney is the most common genitourinary organ injured from external trauma, occurring in 1-5% of all injuries. The vast majority of kidney injuries can be successfully managed nonoperatively. Blunt traumas are more frequent than penetrating. Penetrating trauma is more common in urban areas, is commonly caused by gunshot or stab wounds, and more commonly requires exploration. Blunt trauma re...

BACKGROUND Trauma is the leading cause of childhood morbidity and mortality. Abdominal bleeding is one of the common causes of mortality due to trauma. Angiography and embolization are well recognized as the primary treatments in certain cases of acute traumatic hemorrhage in adults; however, evidence is lacking in the pediatric population. OBJECTIVES To assess the safety and efficacy of tran...

Children have an high risk of renal damage as a result of blunt trauma. Conservative management is always recommended for lower grades (I to III) but is rather controversial whenever high grade injuries (grade IV and V) are concerned. We describe a case of successful conservative management in grade IV renal injury occurred in a 9-years-old girl with blunt trauma.

Approximately 10% of all significant blunt abdominal traumatic injuries manifest with renal injury, although it is usually minor. However, renal imaging is indicated in cases of gross hematuria, penetrating trauma with gross or microscopic hematuria, and blunt trauma and shock with gross or microscopic hematuria. Contrast material-enhanced computed tomography (CT) is the imaging modality of cho...