Renal Trauma: Evaluation by Computerized Tomography

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Abstract
From July 1981-June 1984 22 selected patients suspected of sustaining major renal trauma were evaluated by computerized tomography. Of these patients 17 were managed successfully with conservative therapy and 5 underwent surgical exploration. Only 2 patients required arteriography because of excellent renal delineation provided by computerized tomography scanning. Computerized tomography provides the most precise anatomical detail of renal injuries as well as valuable information regarding other retroperitoneal and intra-abdominal structures, often resulting in the identification of associated and unsuspected injuries. The use of computerized tomography as the primary diagnostic modality in patients suspected of sustaining major renal injury and/or other organ injuries is advocated. This change in diagnostic studies has greatly faciliatated the diagnosis and treatment of kidney injuries.