BACKGROUND: To clarify the role of reimaging computer tomography (CT) scan in the management of patients with grades III and IV renal trauma under conservative treatment. METHODS: In a cross-sectional study, 94 patients with grades III and IV renal trauma from 405 patients with renal injury were selected for nonoperative management. On arrival according to related indications, CT scan of the kidney was performed for all patients and repeated CT scans were done 36 hours and 5 days later. RESULTS: Repeated CT scans, 36 hours and 5 days after the injury, revealed evidence of change in hematoma size or increase in urinary leakage only in nine patients. Interestingly, all of them had other clinical findings including fever, hematoma, and flank pain. Conservative therapy was failed in 41 patients. Nephrectomy was performed in 10 patients (24.39%) and repair of the kidney in 31 subjects (75.61%). The causes of failure in conservative treatment were high-grade unremitting fever (>39 degrees C) in 24 patients (58.54%), fever and hematocrit drop in 9 (21.95%), and severe flank pain in 8 (19.51%). CONCLUSION: In patients with high-grade renal trauma under conservative treatment, notification of hemodynamic and vital signs instability and laboratory data are more important than the results of reimaging CT scan. Reimaging CT is not accurately able to predict the failure of conservative treatment.
BACKGROUND: To clarify the role of reimaging computer tomography (CT) scan in the management of patients with grades III and IV renal trauma under conservative treatment. METHODS: In a cross-sectional study, 94 patients with grades III and IV renal trauma from 405 patients with renal injury were selected for nonoperative management. On arrival according to related indications, CT scan of the kidney was performed for all patients and repeated CT scans were done 36 hours and 5 days later. RESULTS: Repeated CT scans, 36 hours and 5 days after the injury, revealed evidence of change in hematoma size or increase in urinary leakage only in nine patients. Interestingly, all of them had other clinical findings including fever, hematoma, and flank pain. Conservative therapy was failed in 41 patients. Nephrectomy was performed in 10 patients (24.39%) and repair of the kidney in 31 subjects (75.61%). The causes of failure in conservative treatment were high-grade unremitting fever (>39 degrees C) in 24 patients (58.54%), fever and hematocrit drop in 9 (21.95%), and severe flank pain in 8 (19.51%). CONCLUSION: In patients with high-grade renal trauma under conservative treatment, notification of hemodynamic and vital signs instability and laboratory data are more important than the results of reimaging CT scan. Reimaging CT is not accurately able to predict the failure of conservative treatment.
Authors: Andrea Katharina Lindner; Anna Katharina Luger; Josef Fritz; Johannes Stäblein; Christian Radmayr; Friedrich Aigner; Peter Rehder; Gennadi Tulchiner; Wolfgang Horninger; Renate Pichler Journal: World J Emerg Surg Date: 2022-07-07 Impact factor: 8.165
Authors: S A I Loggers; T W A Koedam; G F Giannakopoulos; E Vandewalle; M Erwteman; W P Zuidema Journal: Eur J Trauma Emerg Surg Date: 2016-11-30 Impact factor: 3.693
Authors: Federico Coccolini; Ernest E Moore; Yoram Kluger; Walter Biffl; Ari Leppaniemi; Yosuke Matsumura; Fernando Kim; Andrew B Peitzman; Gustavo P Fraga; Massimo Sartelli; Luca Ansaloni; Goran Augustin; Andrew Kirkpatrick; Fikri Abu-Zidan; Imitiaz Wani; Dieter Weber; Emmanouil Pikoulis; Martha Larrea; Catherine Arvieux; Vassil Manchev; Viktor Reva; Raul Coimbra; Vladimir Khokha; Alain Chichom Mefire; Carlos Ordonez; Massimo Chiarugi; Fernando Machado; Boris Sakakushev; Junichi Matsumoto; Ron Maier; Isidoro di Carlo; Fausto Catena Journal: World J Emerg Surg Date: 2019-12-02 Impact factor: 5.469