● “Aman”
● Posterior: Vertebra,costae,otot,lemak
perirenal
● Anterior: organ intraperitoneal
Mode injury
Trauma langsung
● Trauma tumpul (blunt) hebat
● Trauma tajam
● Trauma tembak
Mode injury
Trauma tak langsung
● Jatuh dari ketinggian:contracoup
● Lesi pedikel
Preexisting anomali
● Hydronephrosis ec BSK
Kapan curiga trauma ginjal?
● Jejas di flank
● Massa di flank
● Hematuria
● Fraktur costae
● Fractur prosesus transversal
Diagnostik
● ABC trauma
● Fast
● Rontgen: IVU 5-10 menit
● CT scan
Grade I
•Sonografi
•CTscan
● Psoas line
menghilang
● IVP spastik
● deformitas
Grade II
● Laserasi parenkim<
1cm
Grade III
● Laserasi > 1cm
Grade IV
● Laserasi dalam
● Robekan PCS
● Extravasasi kontras
masive
Grade V
● Laserasi hebat
multiple
● Hematom
retroperitoneal;
bulging
Grade V
● Hematom retro
peritoneal massive
● Bulging pulsating
Penatalaksanaan terapi
● Grade I-II
● 90%
● KONSERVATIF
Penatalaksanaan terapi
Trauma mayor
● gradeIII-IV-V
● Life saving
● Preservasi ginjal