1.Diagnosis and management of renal trauma in patients with preexistance nephropathy
Journal of Vietnamese Medicine 1998;225(9):166-171
A study on 266 patients with the renal trauma in ViÖt §øc hospital of which 36 patients (14.7%) with preexistent nephropathy has shown that male (20), female (19), youngest (9 year olds), oldest (64 ages), children (5). The causes of renal trauma comprised traffic accident (9), occupational accident (9), living accident (18), sport accident (3), right renal trauma (17). The lesion level was classified according to the chatelaine score. The results: death (0), operative infection (3) and urinary infection (2).
Wounds and Injuries
;
Kidney Diseases
2.Renal trauma
Journal of Vietnamese Medicine 1998;225(9, 10):158-165
A total of 190 patients were treated from 1/1995 to 5/2000. We use the classification of ATT bases on the on the clinical signs and imaging diagnosis. Basing on the conservative and operative treatment, we assessed the possibility of conservative treatment on normal and pathological kidneys. Results: 190 patients consist of 104 moderate cases, 86 severe cases. 83 cases are of right kidneys and 107 are of left kidney. 30 cases are of pathological Kidneys. 92 cases were operated Nephrectomy was 67%, the conservative treatment was 33%.
Kidney Diseases
;
Wounds and Injuries
3.Characteristic ultrasonography imaging of renal trauma at Viet Tiep hospital, Hai Phong
Journal of Medical and Pharmaceutical Information 2004;0(2):31-33
Determine ultrasonic features of renal trauma patients at Viet Tiep Hospital, Hai Phong city. Subject: 21 renal trauma patients (14 males and 7 females) with mean age 30.71±13.85 years treated from April 2001 to April 2002. Method: Use ultrasound examination, classify renal trauma. Results: ultrasound examination is 1st choice of imaging diagnosis because it is fast, noninvasive, and easy using in emergency situations. Among 21 renal trauma patients (13 patients in grade I, 2 patients in grade II, and 6 patients in grade III), ultrasonic findings were contusion and parenchymal hematoma (71.42%), rupture (swallow or deep) (28.57%), perirenal hematoma (23.81%). In cases of grade III renal trauma, ultrasound imagines showed shallow or deep rupture (5 of 6 cases) and perirenal hematoma (4 of 6 cases)
Wounds and Injuries
;
kidney
;
Ultrasonography
4.The role of imaging examination in diagnosis and management of renal trauma
Journal Ho Chi Minh Medical 2004;8(4):193-198
The generalization of some comments about the role of imaging examination in diagnosis of renal trauma as non-preparative adominal tomography: has less value in diagnosis of renal trauma but helps to detect metanephric duct stone. Intravenous urography (UIV): these imagings are main to evaluate the rest of renal function, prevention of cases of traumatic renal excision, has less value in diagnosis of renal trauma. Adominal ultrasound: to detect suggestive signs of internal haemorrhage due to solid viscera breaking in abdomen. CT scan has an important role, to help identifying with or without renal trauma, the level of renal lesions, with or without other viscera lesions. Renal angiography: to block selectively vessels to make haemostatic in some cases of haemorrhage due to renal trauma. MRI is recommended for patients with contraindication of absolute using contrast media
Wounds and Injuries
;
kidney
;
diagnosis
;
Therapeutics
5.Ureteropelvic Junction Avulsion Due to Blunt Abdominal Trauma.
Chang Hee HAN ; Beom Soo KIM ; Kyung Min KWAK ; Woong Kyo CHUNG ; In Chul SUN ; Sung Hak KANG
Korean Journal of Urology 2001;42(11):1224-1226
Ureteropelvic junction avulsion caused by blunt trauma is a rare condition which is often diagnosed after some delay. Herein, we report a case of traumatic ureteropelvic junction avulsion which has been treated successfully by end to end pyeloureterostomy.
Kidney Pelvis
;
Ureter
;
Wounds and Injuries
6.Transarterial coil embolization in treatment of gross hematuria following self-inflicted stab wound in a horseshoe kidney.
Masoud Pezeshki RAD ; Hassan AHMADNIA ; Mahboobeh ABEDI ; Mohammad-Sadegh ABEDI
Chinese Journal of Traumatology 2012;15(2):118-120
Horseshoe kidney is an uncommon anomaly of the urinary system with an increased risk of injury during penetrating and blunt abdominal traumas. Self-inflicted abdominal stab wound, a rare type of abdominal injury, accounts for only a small percentage of suicidal attempts and may be infrequently encountered by physicians in trauma centers. Psychiatric disorders and alcohol or drug abuse are common risk factors in cases of self-stabbing. Here we report a rare case of self-stabbing of a horseshoe kidney. The case was a 19-year-old man with self-inflicted abdominal stab wound who was referred to our department of radiology due to re-occurred gross hematuria three days after exploratory laparotomy and surgical repair of injured abdominal organs. A horseshoe kidney was incidentally found in the patient's abdominal computed tomography. Renal angiography revealed active contrast extravasation from one of the segmental arteries. Selective transarterial embolization with a coil was successfully performed to control the hematuria.
Abdominal Injuries
;
Embolization, Therapeutic
;
Fused Kidney
;
Hematuria
;
Humans
;
Kidney
;
injuries
;
Wounds, Stab
8.Preservation of the kidney with delayed diagnosis of traumatic pelvi-ureteric junction disruption secondary to blunt abdominal trauma in children.
Ming-lei LI ; Ning SUN ; Wei-ping ZHANG ; Cheng-ru HUANG ; Ji-wu BAI ; Ruo-xin LIANG ; Jun TIAN ; Xiang-hui XIE ; Hong-cheng SONG ; Ning LI
Chinese Medical Journal 2011;124(15):2290-2296
BACKGROUNDThe delayed diagnosis of pelvi-ureteric junction (PUJ) disruption in children following blunt abdominal trauma can result in loss of function of the involved kidney. We examined the potential for kidney preservation and the limits of diagnostic delays.
METHODSA retrospective review of 17 cases of PUJ disruption at Beijing Children's Hospital from 1993 to 2009 was done with respect to diagnosis, treatment and follow-up.
RESULTSThe interval from trauma to diagnosis of PUJ disruption was (52 ± 52) days. If one case with nephrectomy was excluded, the interval from trauma to diagnosis was (40 ± 20) days. The average time between injury and first treatment was (49 ± 25) days. Pelvi-ureteric reanastomosis and caliceal ureterostomy were performed separately in 11 and 4 patients, respectively. Ileal replacement for ureter injuries was finally performed in one patient. Hydronephrosis of the injured kidney was reduced and the function improved in 15 out of 17 patients (88%). Only one patient received nephrectomy and the nephrectomy rate was 5.9%.
CONCLUSIONDifferential renal function at the PUJ disruption side can be saved and the rate of nephrectomy reduced by appropriate surgery if the time to diagnosis and first treatment is limited to within two months.
Abdominal Injuries ; complications ; surgery ; Child ; Child, Preschool ; Female ; Humans ; Kidney ; injuries ; surgery ; Kidney Pelvis ; injuries ; surgery ; Male ; Retrospective Studies ; Ureter ; injuries ; surgery ; Ureteral Obstruction ; etiology ; surgery
9.Method of Ureteral Exteriorization in Nephrectomy.
Korean Journal of Urology 1961;2(1):119-123
Exteriorization of the ureteral stump in nephrectomy was devised by Dr. William Mayo and was clinically applied for the treatment of renal tuberculosis by Dr. John K. Lattimer. The method was used in eighteen cases of nephrectomy with successful results at our clinic during the past two years. Ureteral Exteriorization is considered one of the most reasonable methods of preventing possible local infection at the operative wound during and after nephrectomy of a severely infected kidney. We believe that instillation or continuous irrigation of antibacterial solutions through the exteriorized ureteral stump is a simple and useful procedure for the treatment of residual infection of the urinary tract after nephrectomy.
Kidney
;
Nephrectomy*
;
Tuberculosis, Renal
;
Ureter*
;
Urinary Tract
;
Wounds and Injuries
10.The study of the value of CT scanning in the diagnosis of closed injury of the kidney
Journal of Medical Research 2004;27(1):63-69
45 patients with closed injury of the kidney who underwent CT scanning and an internal therapy or an operation at Viet Duc Hospital were studied. Results showed the high values of the diagnosis of morphological injuries in casualty of kidney such as morphological change, contusion and parenchymal congestion, kidney rupture, retroperitoneal congestion, with absolute level of sensitivity and positive predictive value at high level. Moreover, CT scanning permitted the diagnosis of combining injuries of various organs in abdomen cavity and the evaluation of the function of injured kidney and healthy kidney through the contrast injection CT scanning could evaluate the kidney injury with 90.5% of accuracy. 3/3 cases of grade IV damage and 93.3% of grade III damage were detected. The damages of grade II and grade I detected in CT scanning were treated internal and got good clinical progress
Tomography, X-Ray Computed
;
diagnosis
;
Wounds and Injuries
;
Kidney