Ces Urol 2004, 8(1):34-38 | DOI: 10.48095/cccu2004009

Urineanalysis and diagnostic imaging in renal injuries

R. Grill1, F. Záťura2, M. Urban1, I. Hartman2
1 Urologická klinika FN KV, Praha
2 Urologická klinika FN Olomouc

The authors evaluate the urinary sediment investigation in correlation with the severity of kidney involvement and the importance of individual imaging methods in a joint group of patients with kidney trauma from two university hospitals - faculty hospitals Praha-Vinohrady and Olomouc. The results suggest that hematuria represents an important part of the diagnosis, but it cannot be directly correlated with the grade of kidney involvement and additional investigations, which view renal parenchyma and its surroundings have to be added in all cases. The diagnostic scheme is divided mainly between CT and ultrasound investigation (US). CT is the option in kidney trauma grade III or higher and when an associated trauma is suspected. Ultrasound investigation has sufficient quality of imaging and documentation facilities for isolated injuries of lower grades, which comprise approximately 85% of kidney injuries and for follow-up of the injured kidney.

Keywords: kidney trauma, hematuria, imaging

Published: January 1, 2004 


References

  1. McAninch JW et al. Traumatic and reconstructive urology. Philadelphia, WB Saunders 1996: 95.
  2. Dvořáček J et al. Urologie Praha 1998; ISV: 653.
  3. Abu-Zidan FM, Al-Tawheed A, Ali YM. Urologic Injuries in the Gulf War. Int Urol Nephrol 1999; 31 (5): 577-583. Go to original source... Go to PubMed...
  4. Dvořáček J et al. Urologie Praha 1998; ISV: 656.
  5. Moore EE, Shackford SR, Pachter HL et al. Organ injury scaling: Spleen, liver, and kidney. J Trauma 1989; 29: 1664-1666. Go to original source... Go to PubMed...
  6. Huppert PE, Gilbert DM. Aktuelle Bildgebende Diagnostik Bei Nierentraumen. Dtsch Med Wochenschr 1997; 122 (47): 1466-1472. Go to original source... Go to PubMed...
  7. Guerriero WG, Carlton CE jr, Beal AC jr. Renal pedicle injuries. J Trauma 1978;18: 387.
  8. Walsh PC et al. Campbells Urology. 8th Ed. Philadelphia, WB Saunders 2002; sv. 4: 3 708.
  9. Chandhoke P, McAninch JW. Detection and significance of microscopic hematurie in patiens with blunt renal trauma. J Urol 1988; 140: 16. Go to original source... Go to PubMed...
  10. McAninch JW et al. Traumatic and reconstructive urology. Philadelphia, WB Saunders Company 1996: 96.
  11. Carl P. Diagnostik und Therapie von Nierenverletzungen. Urologe-Ausg-A. 1997;(6): 523-530. Go to original source...
  12. McGahan JP, Richards JR, Jones CD, Gerscovich EO. Use of ultrasonography in the patient with acute renal trauma. J Ultrasound Med 1999; 18 (3): 207-213. Go to original source... Go to PubMed...
  13. Perry MJ, Porte ME, Urwin GH. Limitations of ultrasound evaluation in acute closed renal trauma. J R Coll Surg-Edinburgh 1997; 42 (6): 420-422.
  14. Quin R, Wang P, Quin W, Wang H, Chen B. Diagnosis and treatment of renal trauma in 298 patients. Chin J Traumatol 2002; 5 (1): 21-23.
  15. Vasile M, Bellin MF, Helenon O, Mourey I, Cluzel P. Imaging evaluation of renal trauma Abdominal Imaging 2000; 25 (4): 424-430. Go to original source... Go to PubMed...
  16. Goodacre B, Van Sonnenberg E. Radiologic evaluation of renal trauma: Part 2. Intensive Care Medsj 2000; 15 (3): 167-178. Go to original source...
  17. Brown DFM, Rosen CL, Wolfe RE. Renal ultrasonography. Emerg Med Clin North Am 1997; 15 (4): 877-893. Go to original source... Go to PubMed...





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