Traumatic renal injury

Case contributed by Dr Barbara Turi

Presentation

Haematuria, hypotension with arterial pressure less than 90 mmhg, shock and clinical suspicion of multiorgan involvement.

Patient Data

Gender: Male
CT

CT multiphasic study protocol in patient with abdominal trauma  for suspected renal trauma includes an unenhanced scan without contrast,  an initial arterial phase with a scanning dalay of 20-30 s to identify vascular damage, followed by a nephrographic phase at 70-80 s to identify parenchymal lesions and a late phase at 3  to detect lesions of the urinary tract.

Case Discussion

CT study allows staging of renal injures, with identification of type, location and extent of parenchymal damage and presence of active bleeding or urinary extravasation. 

We used multiphasic study protocol, based on whole body CT for trauma technique.

CT multiphasic study protocol in patients with suspected renal injury after an abdominal trauma includes an unenhanced scan without contrast, an initial arterial phase with a scanning delay of 20-30 s to identify vascular damage, followed by a nephrographic phase at 70-80 s to identify parenchymal lesions and a late phase at 3  to detect lesions of the urinary tract. In addition, CT enables evaluation of contralateral kidney function and detection of concomitant involvement of other abdominal organs.

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Case information

rID: 24601
Case created: 30th Aug 2013
Last edited: 5th Oct 2017
System: Urogenital
Tag: crop
Inclusion in quiz mode: Excluded

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