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Renal Trauma
Matthew T. Heller, MD, FSAR; Ghaneh Fananapazir, MD, FSAR, FSRU, FSABI
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • Imaging Recommendations

                    • MR Findings

                      • Angiographic Findings

                        • Ultrasonographic Findings

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          Selected References

                                          1. Chien LC et al: The American Association for the Surgery of Trauma Organ Injury Scale 2018 update for computed tomography-based grading of renal trauma: a primer for the emergency radiologist. Emerg Radiol. 27(1):63-73, 2020
                                          2. Baghdanian AH et al: Utility of MDCT findings in predicting patient management outcomes in renal trauma. Emerg Radiol. 24(3):263-72, 2017
                                          3. Chong ST et al: Renal trauma: imaging evaluation and implications for clinical management. Abdom Radiol (NY). 41(8):1565-79, 2016
                                          4. Berko NS et al: Computed tomographic imaging of renal and ureteral emergencies. Curr Probl Diagn Radiol. 44(2):207-20, 2015
                                          5. Bonatti M et al: MDCT of blunt renal trauma: imaging findings and therapeutic implications. Insights Imaging. 6(2):261-72, 2015
                                          6. Schiappacasse G et al: CT findings of the main pathological conditions associated with horseshoe kidneys. Br J Radiol. 88(1045):20140456, 2015
                                          7. Heller MT et al: MDCT of renal trauma: correlation to AAST organ injury scale. Clin Imaging. 38(4):410-7, 2014
                                          8. McCombie SP et al: The conservative management of renal trauma: a literature review and practical clinical guideline from Australia and New Zealand. BJU Int. 114 Suppl 1:13-21, 2014
                                          9. Damasio MB et al: Multi-detector CT in the paediatric urinary tract. Eur J Radiol. 82(7):1118-25, 2013
                                          10. Dayal M et al: Imaging in renal trauma. World J Radiol. 5(8):275-84, 2013
                                          11. Myers JB et al: High-grade renal injuries: radiographic findings correlated with intervention for renal hemorrhage. Urol Clin North Am. 40(3):335-41, 2013
                                          12. Szmigielski W et al: Renal trauma imaging: diagnosis and management. A pictorial review. Pol J Radiol. 78(4):27-35, 2013
                                          13. Shenfeld OZ et al: Management of urogenital trauma: state of the art. Curr Opin Urol. 21(6):449-54, 2011
                                          14. Malcolm JB et al: Nonoperative management of blunt renal trauma: is routine early follow-up imaging necessary? BMC Urol. 8:11, 2008
                                          15. Ortega SJ et al: CT scanning for diagnosing blunt ureteral and ureteropelvic junction injuries. BMC Urol. 8:3, 2008
                                          16. Shariat SF et al: Evidence-based validation of the predictive value of the American Association for the Surgery of Trauma kidney injury scale. J Trauma. 62(4):933-9, 2007
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • Imaging Recommendations

                                                            • MR Findings

                                                              • Angiographic Findings

                                                                • Ultrasonographic Findings

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  Selected References

                                                                                  1. Chien LC et al: The American Association for the Surgery of Trauma Organ Injury Scale 2018 update for computed tomography-based grading of renal trauma: a primer for the emergency radiologist. Emerg Radiol. 27(1):63-73, 2020
                                                                                  2. Baghdanian AH et al: Utility of MDCT findings in predicting patient management outcomes in renal trauma. Emerg Radiol. 24(3):263-72, 2017
                                                                                  3. Chong ST et al: Renal trauma: imaging evaluation and implications for clinical management. Abdom Radiol (NY). 41(8):1565-79, 2016
                                                                                  4. Berko NS et al: Computed tomographic imaging of renal and ureteral emergencies. Curr Probl Diagn Radiol. 44(2):207-20, 2015
                                                                                  5. Bonatti M et al: MDCT of blunt renal trauma: imaging findings and therapeutic implications. Insights Imaging. 6(2):261-72, 2015
                                                                                  6. Schiappacasse G et al: CT findings of the main pathological conditions associated with horseshoe kidneys. Br J Radiol. 88(1045):20140456, 2015
                                                                                  7. Heller MT et al: MDCT of renal trauma: correlation to AAST organ injury scale. Clin Imaging. 38(4):410-7, 2014
                                                                                  8. McCombie SP et al: The conservative management of renal trauma: a literature review and practical clinical guideline from Australia and New Zealand. BJU Int. 114 Suppl 1:13-21, 2014
                                                                                  9. Damasio MB et al: Multi-detector CT in the paediatric urinary tract. Eur J Radiol. 82(7):1118-25, 2013
                                                                                  10. Dayal M et al: Imaging in renal trauma. World J Radiol. 5(8):275-84, 2013
                                                                                  11. Myers JB et al: High-grade renal injuries: radiographic findings correlated with intervention for renal hemorrhage. Urol Clin North Am. 40(3):335-41, 2013
                                                                                  12. Szmigielski W et al: Renal trauma imaging: diagnosis and management. A pictorial review. Pol J Radiol. 78(4):27-35, 2013
                                                                                  13. Shenfeld OZ et al: Management of urogenital trauma: state of the art. Curr Opin Urol. 21(6):449-54, 2011
                                                                                  14. Malcolm JB et al: Nonoperative management of blunt renal trauma: is routine early follow-up imaging necessary? BMC Urol. 8:11, 2008
                                                                                  15. Ortega SJ et al: CT scanning for diagnosing blunt ureteral and ureteropelvic junction injuries. BMC Urol. 8:3, 2008
                                                                                  16. Shariat SF et al: Evidence-based validation of the predictive value of the American Association for the Surgery of Trauma kidney injury scale. J Trauma. 62(4):933-9, 2007