Renal Trauma
Radiological imaging of the renal tract is not indicated in adults with microscopic haematuria following blunt abdominal trauma, provided they are not shocked and have no major associated injuries.[Bestbets]. Discharged patients should be asked to attend their GP for check urinalysis in a fortnight.
CT Grade |
Injury |
Usual initial management for isolated injury |
|---|---|---|
Grade 1 |
Superficial cortical laceration, contusion and/or perirenal haematoma |
Admit CDU and observe |
Grade 2 |
Deep corticomedullary laceration involving the collecting system |
Admit urology for observation |
Grade 3 |
Renal crush injury and/or main vascular pedicle injury |
Admit urology for surgery |
Grade 4 |
Injury of the renal pelvis or the ureteropelvic junction |
Admit urology for surgery |
