eMedicine Specialties > Radiology > Genitourinary

Kidney, Trauma: Follow-up

Author: J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
Coauthor(s): J Scott Schauberger, BS, University of Alabama Birmingham School of Medicine; Philip Kenney, MD, Chief of GU Section of Diagnostic Radiology, Professor, Department of Diagnostic Radiology, University of Alabama at Birmingham; Arun K Dheer, MBBS, MD, FRCR, Consultant Radiologist, Department of Radiology, University Hospital of Coventry and Warwickshire NHS Trust, Walsgrave Hospital; Alex Lobera, MD, Chief of Cross-Sectional Imaging, Assistant Professor, Department of Radiology, William Beaumont Army Medical Center
Contributor Information and Disclosures

Updated: Feb 21, 2007

Intervention

Radiologic intervention

Radiologic interventions in the setting of acute renal trauma are mainly limited to those of a vascular nature. Examples include embolization of bleeding vessels and arteriovenous fistulas.

Management of renal injury

Treatment options must be weighed against related mortalities and morbidities. In the evaluation for treatment options, the AAST injury grade is correlated with the apparent need for surgery to repair or remove the injured kidney (Santucci, 2001).

Nonoperative management may be successful or even preferred in stable patients with high-grade injuries. The preservation of long-term renal function is often better when renal injuries are treated nonoperatively (Santucci, 2001; Altman, 2000). Thus, unless there is extensive devitalized tissue, active hemorrhage, a large injury to the collecting system with progressive renal compression on follow-up or with ureteral disruption, conservative management is often chosen for renal injuries (Knudson, 1999; Brandes, 1999). Overall, with modern management techniques, renal salvage rates approach 85-90%.

 


More on Kidney, Trauma

Overview: Kidney, Trauma
Imaging: Kidney, Trauma
Follow-up: Kidney, Trauma
Multimedia: Kidney, Trauma
References
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Further Reading

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Keywords

kidney injury, renal trauma, renal injury, genitourinary trauma, blunt abdominal trauma, penetrating abdominal trauma, urinary tract, pelvic injury, renal laceration, renal contusion, renal vascular trauma, hematuria, perinephric hematomas, subcapsular hematomas, ureteropelvic junction, collecting system, renal segmental infarctions, hypovolemic shock

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Contributor Information and Disclosures

Author

J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
Disclosure: Nothing to disclose.

Coauthor(s)

J Scott Schauberger, BS, University of Alabama Birmingham School of Medicine
Disclosure: Nothing to disclose.

Philip Kenney, MD, Chief of GU Section of Diagnostic Radiology, Professor, Department of Diagnostic Radiology, University of Alabama at Birmingham
Philip Kenney, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society of Uroradiology
Disclosure: Nothing to disclose.

Arun K Dheer, MBBS, MD, FRCR, Consultant Radiologist, Department of Radiology, University Hospital of Coventry and Warwickshire NHS Trust, Walsgrave Hospital
Arun K Dheer, MBBS, MD, FRCR is a member of the following medical societies: British Institute of Radiology, British Medical Association, and Royal College of Radiologists
Disclosure: Nothing to disclose.

Alex Lobera, MD, Chief of Cross-Sectional Imaging, Assistant Professor, Department of Radiology, William Beaumont Army Medical Center
Alex Lobera, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, New Mexico Medical Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Neela Lamki, MD, Professor, Department of Radiology, Sultan Qaboos University, Oman; Adjunct Professor, Department of Radiology, Baylor College of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Joshua A Becker, MD, Professor, Department of Radiology, New York University School of Medicine
Joshua A Becker, MD is a member of the following medical societies: Society of Uroradiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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