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Renal Trauma

Pedro Gustavo de Rezende Teixeira trauma-list@trauma.org
Tue, 1 Apr 2003 18:10:09 -0300 

What about that: 28 yo male, blunt abdominal trauma (motorcicle), arrives
hemodinamically normal complaining of pain in the right flank. No peritonial
irritation sign. He spontaneously urinated (frank hematuria). An abdominal
CT was ordered and showed a right kidney augmented in size and with a slow
captation of contrast. There was no sign of parenquimal disruption or
extravasation of contrast. Excretion was slow but present. The CT also
showed blood clots inside the bladder and right renal pelvis. Left kindey
normal on CT.

What next? Angiogram? Observe?

When are we supposed to order a control CT (early and late)?

Best regards

Pedro Gustavo R. Teixeira
General Surgery
Trauma Surgery

Minas Gerais, Brazil