Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Management of renal injuries in blunt abdominal trauma

Author(s): Patel P, Duttaroy D, Kacheriwala S

Abstract

Background: Renal trauma occurs in 8% to 10% of all patients with abdominal trauma & the most common organ injured in pediatrics blunt abdominal trauma. Blunt force is responsible for 70 to 80% of renal trauma.

Objectives: To identify & determine the common mode & types of injury, investigation of choice, conservative & surgical management & outcome.

Methods: An Observational Cross Sectional Combined Retrospective and Prospective study of 25 patients of blunt renal injuries was conducted during a period of 5 years from December 2008 to November 2013.

Results: Blunt renal injury is more common in young male of 11-20 years (40% patients). Road traffic accident was responsible for 64% cases. Minor & major renal injuries were found in 68% & 32% cases respectively. CT scan & USG had detected renal injuries in 88 % & 64% patients respectively. Only 2 (8%) patients of blunt renal trauma were managed surgically, both the patient had AAST Grade IV injury. All 17 (68%) patients with AAST Grade I, II & III were successfully managed conservatively with one mortality. Conclusion: Contrast enhanced computerized tomography abdomen is the choice of investigation. Majority of patients had minor renal injuries (Grade I, II or III) with Grade V injury being the most rare and most severe renal injury.

Share this article