Renal artery and vein injury following blunt trauma.

Annals of Surgery
J T SturmA S Cass

Abstract

Blunt injuries of the renal vascular pedicle occur infrequently. The experience with fourteen cases of blunt renal vascular trauma is presented. Most patients were injured in motor vehicle accidents. The diagnosis was made immediately after admission in 6 patients, delayed in 5, and at autopsy in 3. Most patients presented with gross or microscopic hematuria. The diagnosis of renal vascular injury was suggested by IVP in most instances. Surgical management was used in the 6 patients in whom the immediate diagnosis of renal pedicle injury was made; primary vascular repair was carried out in 4 patients and nephrectomy in two. Conservative management was used in 4 of the 5 patients with delayed diagnosis, and nephrectomy was required in the fifth. Three patients received no treatment as two were dead on arrival and one die during laparotomy. Seven patients died (50%). One of the 7 survivors has a functioning kidney following repair of a renal vein laceration. Three patients with devascularized kidneys have been followed long term and have not developed hypertension. An IVP should be mandatory following severe blunt trauma, especially when hematuria is present. Renal arteriography is indicated with distortion of calyces, extravasat...Continue Reading

References

Feb 1, 1972·The Journal of Trauma·J L LeandoerT L Marchioro
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Citations

Jan 1, 1996·International Urology and Nephrology·R DonatK G Brame
Jan 1, 1985·Urologic Radiology·S J SclafaniS Glanz
Jan 5, 2002·The Surgical Clinics of North America·A TillouE Rojo
Feb 1, 1978·Urology·A J Maggio, S Brosman
Apr 1, 1984·Disease-a-month : DM·J C Stanley, W M Whitehouse
Jun 1, 1983·Australian and New Zealand Journal of Medicine·M AbramsonC I Johnston
Oct 1, 1985·Annals of Emergency Medicine·M A LevittM Kobernick
Mar 1, 1986·Annals of Emergency Medicine·D T Uehara, R F Eisner
Sep 1, 1985·The British Journal of Surgery·D DemetriadesA Landau
Feb 1, 1985·The Journal of Urology·G S NicolaisenP R Carroll
Apr 1, 1978·The Journal of Urology·A N EliasD H Streeten

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