Korean J Urol.
1983 Dec;24(6):1029-1036.
Clinical and Radiological Evaluation of the Renal Injuries
- Affiliations
-
- 1Department of Urology, School of Medicine, Kyung Hee University Seoul, Korea.
Abstract
- Clinical and radiological evaluation was made on the 30 kidneys of 28 patients with renal injury, who were admitted in the Department of Urology, Kyung Hee University Hospital during the period from January 1, 1980 through December 31, 1982. The results were as follows: 1. They were non-penetrating injuries and the causes were traffic accident in 13 kidneys, fall in 10 kidneys and blow in 7 kidneys. 2. Associated injuries other than kidney were seen in 15 patients with the majority of rib fracture. 3. Severity of the renal injury was classified in 3 categories according to modified Scott's classification. Of 19 minor injuries, 16 kidneys were contusions and 3 kidneys were shallow cortical lacerations. Major injuries of parenchymal laceration involving calyx were seen in 4 kidneys. Pedicle injuries were seen in 7 kidneys. 4. The most frequent symptoms and signs were hematuria, 26cases, and flank pain, 26 cases. Abdominal pain, nausea and vomiting, and palpable abdominal mass were also seen. 5. Excretorgraphy was the diagnostic procedure with satisfactory information in 60% of the cases. It is considered to be the screening procedure of choice. 6. Selective renal arteriography is considered to be the best diagnostic procedure in case of major and pedicle injuries for planning the proper treatment and determining the prognosis. 7. Conservative treatment was done in 18 cases and nephrectomy in 10 cases.
