[Genito-urinary trauma: epidemiologic and clinical aspects]

To analyze the frequency and the etiology of trauma to the genito-urinary tract as well as the types of lesions encountered This is a retrospective study carried out on 38 patients with genito-urinary trauma seen at Cocody University Hospital, Abidjan, Ivory Coast, between April 2000 and December 2006. The parameters studied were: age, sex, profession, etiology of the trauma, the type of lesions observed and their surgical management. Out of 16,425 trauma patients, 38 [0.2%] had genito-urinary lesions. Thirty-seven of them were males and one female with a mean age of 26.9 [range 5 to 63] years. The majority of the patients were victims of car accidents [42.1%, 16 cases], while 29% [11 cases] had a work accident, and 23.7% [9 cases] were victims of civil violence [physical assaults]. In 81.6% of the cases, the urethra and the bladder were affected, while renal lesions and trauma to the external genital organs were found in7.9% and 10.5% of the cases, respectively. Twenty-five patients [65.8%] had associated pelvic fracture. The trauma was direct in all patients with blunt trauma in 29 [76.3%] and penetrating trauma in 9 [23.7%]. Surgical management consisted of end-to-end urethrorrhapy in the majority of patients [52.6%]. Genito-urinary trauma is rare and is more likely to affect young men. It is primarily caused by car and work accidents. Such trauma is usually associated with serious lesions

[Ruptured aneurysm of the renal artery: case report and review of the literature]

The authors report the first case in Ivory Coast of a ruptured aneurysm of the renal artery in a 23-year-old man admitted for massive hematuria and shock. He was subjected to emergency midline laparotomy which showed that the kidney and the aneurysm were not easily accessible due to fibrosis and a large mass of blood clots. Total nephrectomy was performed. Follow-up after 3 months was uneventful. Based on this case, the authors review the literature concerning the epidemiology, classification, clinical features and management of aneurysms of the renal artery