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RES: Renal Trauma

Pedro Gustavo de Rezende Teixeira trauma-list@trauma.org
Mon, 7 Apr 2003 00:10:01 -0300


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Sagital reformation was done and no axial plane fracture was seen. We also
performed delayed cuts and no leak was identified.

Pedro Gustavo R. Teixeira
General Surgery
Trauma Surgery

Minas Gerais, Brazil

  -----Mensagem original-----
  De: trauma-list-admin@trauma.org [mailto:trauma-list-admin@trauma.org]Em
nome de SJASMD@aol.com
  Enviada em: quinta-feira, 3 de abril de 2003 08:09
  Para: trauma-list@trauma.org
  Assunto: Re: Renal Trauma


  In a message dated 4/1/2003 4:22:17 PM Eastern Standard Time,
pedrogrt@uol.com.br writes:



    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


  This sounds like obstructive uropathy, proably secondary to clots However
no renal fracture was noted. I find sagital reformations very helpful in
this situation to see fractures in the axial plane. Since there s delayed
excretion of the contrast agent, i would certainly perform delayed images to
further evaluate and exclude urinary leak.
  I find no indication for angiography or exploration

  sal sclafani

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<BODY>
<DIV><SPAN class=3D020455302-07042003><FONT face=3DArial color=3D#0000ff =

size=3D2>Sagital reformation was done and no axial plane fracture was =
seen. We=20
also performed delayed cuts and no leak was =
identified.</FONT></SPAN></DIV>
<DIV><SPAN class=3D020455302-07042003><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D020455302-07042003><FONT face=3DArial color=3D#0000ff =
size=3D2>Pedro=20
Gustavo R. Teixeira</FONT><FONT lang=3D0 style=3D"BACKGROUND-COLOR: =
#ffffff"=20
FAMILY=3D"SANSSERIF"><BR></FONT><FONT lang=3D0 =
style=3D"BACKGROUND-COLOR: #ffffff"=20
face=3DArial color=3D#0000ff size=3D2 FAMILY=3D"SANSSERIF">General =
Surgery</FONT><FONT=20
lang=3D0 style=3D"BACKGROUND-COLOR: #ffffff" color=3D#000000 size=3D3=20
FAMILY=3D"SANSSERIF"><BR></FONT><FONT lang=3D0 =
style=3D"BACKGROUND-COLOR: #ffffff"=20
face=3DArial color=3D#0000ff size=3D2 FAMILY=3D"SANSSERIF">Trauma =
Surgery</FONT><FONT=20
lang=3D0 style=3D"BACKGROUND-COLOR: #ffffff" color=3D#000000 size=3D3=20
FAMILY=3D"SANSSERIF"><BR><FONT face=3DArial>&nbsp; =
<BR></FONT></FONT><FONT lang=3D0=20
style=3D"BACKGROUND-COLOR: #ffffff" face=3DArial color=3D#0000ff =
size=3D2=20
FAMILY=3D"SANSSERIF">Minas Gerais, Brazil</FONT><FONT lang=3D0=20
style=3D"BACKGROUND-COLOR: #ffffff" color=3D#000000 size=3D3=20
FAMILY=3D"SANSSERIF"><BR></FONT></SPAN></DIV>
<BLOCKQUOTE>
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Mensagem original-----<BR><B>De:</B> =
trauma-list-admin@trauma.org=20
  [mailto:trauma-list-admin@trauma.org]<B>Em nome de=20
  </B>SJASMD@aol.com<BR><B>Enviada em:</B> quinta-feira, 3 de abril de =
2003=20
  08:09<BR><B>Para:</B> trauma-list@trauma.org<BR><B>Assunto:</B> Re: =
Renal=20
  Trauma<BR><BR></FONT></DIV><FONT face=3Darial,helvetica><FONT lang=3D0 =
face=3DArial=20
  size=3D2 FAMILY=3D"SANSSERIF">In a message dated 4/1/2003 4:22:17 PM =
Eastern=20
  Standard Time, pedrogrt@uol.com.br writes:<BR><BR>
  <BLOCKQUOTE=20
  style=3D"PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #0000ff 2px =
solid; MARGIN-RIGHT: 0px"=20
  TYPE=3D"CITE"><BR>What about that: 28 yo male, blunt abdominal trauma=20
    (motorcicle), arrives<BR>hemodinamically normal complaining of pain =
in the=20
    right flank. No peritonial<BR>irritation sign. He spontaneously =
urinated=20
    (frank hematuria). An abdominal<BR>CT was ordered and showed a right =
kidney=20
    augmented in size and with a slow<BR>captation of contrast. There =
was no=20
    sign of parenquimal disruption or<BR>extravasation of contrast. =
Excretion=20
    was slow but present</BLOCKQUOTE><BR><BR>This sounds like =
obstructive=20
  uropathy, proably secondary to clots However no renal fracture was =
noted. I=20
  find sagital reformations very helpful in this situation to see =
fractures in=20
  the axial plane. Since there s delayed excretion of the contrast =
agent, i=20
  would certainly perform delayed images to further evaluate and exclude =
urinary=20
  leak.<BR>I find no indication for angiography or exploration =
<BR><BR>sal=20
  sclafani</FONT> </FONT></BLOCKQUOTE></BODY></HTML>

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