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Abstract

Background:

Renal trauma is less common but often occurs in polytrauma. Most trauma is blunt and the severity of the injury varies in different circumstances.

Assessment:

There is a series of features that should prompt investigation but none are reliably seen in all trauma cases and a low threshold for suspecting renal injury should be taken. A urine dip is essential.

Investigation:

Computerised tomography is the main modality. Follow-up imaging may be used if complications arise and ultrasound may be used in some cases.

Management:

Approaches include surgical, radiological and conservative. The latter has been achieved in all grades but intervention will be required in haemodynamic instability.

Complications:

Haemorrhage, infection and urine extravasation are common and require intervention. There are many long-term complications and hypertension can occur by a variety of mechanisms.

Keywords

Renal trauma injury investigation management embolisation surgical exploration conservative management

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The diagnosis and management of renal trauma

Abstract

Background:

Assessment:

Investigation:

Management:

Complications:

Keywords

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References