Epidemiological Analysis of Trauma Patients with Renal Injuries
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 7
Abstract
Introduction: The evolution in the management of renal trauma has been made possible by advances in both imaging and minimally invasive techniques. Nowadays, computed tomography (CT) plays a major role in investigation of renal trauma and is currently the imaging modality of choice. Aim: To study the epidemiology of renal injuries, complications, early and late, associated with renal trauma, and to study the morbidity and mortality pattern in renal trauma victims. Materials and Methods: All patients who sustained renal trauma confirmed by investigations were included in the study. This included renal trauma due to road traffic accidents, train traffic accidents, fall from height, assault, and stab injuries. Results: In the present study, out of total 521 patients admitted with abdominal trauma, 99 had some form of urological injuries (19%). No significant renal injury was missed after CT imaging and the sensitivity of contrast-enhanced CT approached 100% in our series. In the present study, 74% of cases were managed conservatively without any surgical intervention and all these patients recovered well. Conclusion: Contrary to the findings of most other studies, posterior ureteral disruption injuries seem to predominate among genitourinary trauma in our study. CT scan is the most comprehensive imaging tool to identify and characterize the renal injuries.
Authors and Affiliations
S Mangaiyarkarasi, B Thiruvasagamani, S K Subhakanesh, A Larif, Heber Anandan
Keywords
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