RENAL TRAUMA: PROFILE AND MANAGEMENT

Abstract

AIMS AND OBJECTIVES: To determine the pattern of renal injuries in blunt trauma abdomen and management protocols. MATERIALS AND METHODS: All patients of blunt renal trauma above 15 years of age who fullled the inclusion criteria were included. Patients were studied for their management and outcomes. RESULTS: A total of 18 patients were enrolled who had blunt renal injury. Mean age was 28.72 years. Most common mode of injury leading to renal injuries were motor vehicle accidents i.e. 13 cases out of 18 (72.2%). Associated liver injury was present in 11 out of 18 cases (61%). Mean hospital stay was 10.76 days.. Hematuria occurred in 10 cases out of 18 i.e. 55.6%. There were 3 patients (16.7%) each of Grade I, Grade II, Grade III and Grade V renal injury. Grade IV renal injury was more common accounting for 6 cases out of 18 (33.3%). Grade I, II and III renal injury were managed conservatively. Out of 6 patients of Grade IV renal trauma, 5 were managed conservatively and one patient underwent angioembolization. Nephrectomy along with splenectomy was in one patient. complications like perinephric abscess formation, urinoma formation were noted CONCLUSION: Majority of the patients of blunt trauma renal injury can be managed conservatively. High Grade injuries may require surgery or angioembolization in selected cases.