Traumatic renal injury

Case contributed by Dr Barbara Turi

Presentation

Haematuria, hypotension with arterial pressure < 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 to the urinary tract

Case Discussion

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

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

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 to the urinary tract. in addiction, CT enables evalutation of controlateral kidney function and detection of concomitant involvment of other abdominal organs, helping to identify priorities in patient management.

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Case information

rID: 24601
Case created: 30th Aug 2013
Last edited: 26th Sep 2015
System: Urogenital
Tag: crop
Inclusion in quiz mode: Excluded

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