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ABDOMINAL TRAUMA
 

 

 

Intravenous Urography

  • 90% accurracy under best of conditions
  • Poor study in hypotensive patients
  • Poor grading study
  • Does not evaluate retroperitoneum
  • One shot study may be important in unstable patients to identify a contralateral functioning kidney.

Introduction
Case Presentation
Initial Evaluation
Radiology
Grading
Management
Surgical Technique
Conclusions
Extravasation of contrast
from right kidney
Clot in 
collecting
system
No filling of upper pole
of right kidney
 

Computed Tomography

  • Gold standard
  • Delineates grade of  injury
  • Shows infarcted segments of kidney
  • Images whole abdomen and retroperitoneum
  • Not appropriate for haemodynamically unstable patients
 
Right perinephric
haematoma.  Renal
vessels visible.  Poor
uptake of contrast
 

Angiography

  • Delineates vascular injury
  • Where CT equivocal or unavailable
  • Invasive