Management of renal trauma : assiut experience

ABSTRACT

Objective To conform a rational approach for diagnosis and treatment of renal injuries with either conservative or interventional treatment. Patients and Methods The study included 36 male and 6 female patients (total 42) with renal trauma. The patients' age ranged from 6 to 65 years. Thirty-one patients (73.8) presented with blunt renal trauma; while eleven patients (26.2) presented with penetrating renal trauma. Haematuria was the commonest presenting symptom accounting for 98. All patients were thoroughly evaluated clinically and by abdo-minal ultrasonography; while excretory urography and abdominal computerized tomography were required in some patients only. Results Conservative treatment was successful in 10 patients with minor blunt trauma; while immediate exploration was done for 26 patients and late exploration was required in 6 patients. Conclusion For renal salvage; the traumatized kidney is to be explored in all cases of penetrating and major blunt renal trauma