Is an emergency condition Need immediate management Early diagnosis is important to prevent complication Usually associated with other organ injuries : Brain Abdominal organs Bone fracture
Renal Trauma Most common Etiology : 1. Blunt Trauma Traffic Accident Falling from Height Sport injuries, Fight 2. Penetrating Trauma Stab wound Gunshot wounds Figure 6-1. Classification of renal injury: Grade I, renal contusion and subcapsular hematoma; Grade II, cortical laceration and perirenal hematoma; Grade III, deep parenchyma: laceration through corticomedullary junction and segmental renal artery thrombosis without a parenchymal laceration: Grade IV, laceration involving the collecting system, with or without a devascularized segment and contained vascular injury Grade V, renal artery thrombosis. avulsion of the renal pedicle, and shattered kidney. Renal Trauma DIAGNOSIS A. History of Illness : Hystory of Trauma Mechanic B. Clinical Sign : General Status General condition Pale, sign of shock Associated injury : Central Nervous System Thorax Abdominal Fracture
Renal Trauma Urological Status Flank : - Hematom, Wound - Mass / Bulging - Tenderness Hematuria - Microscopic - Macroscopic C. Laboratory - Hb, Ht - Urinalysis Hematuria D. Radiology - KUB -IVU - CT Scan - Arteriography Renal Trauma Schema of Renal Trauma Renal Trauma Shock (+) Resuscitation Shok (+) Shock (-) Operation Shock(-) KUB - IVU Not Informative N Extravasations CT-scan Operation Observation Arteriography Operation N Renal Trauma Therapy Resuscitation Conservative Operative : Repair Nephrectomy