Author : Hassan AL-Jaff, Emad
journal of kerbala university,
2006, Volume 2, Issue 2, Pages 23-28
Introduction: renal trauma is the most common urologic trauma and occurs in 3% of all admissions and as many as 10% of patients who sustained abdominal trauma.
Patients and methods: 36 patients had renal injury, 28 patients injured during explosion due terrorist's attacks. 30 males and 6 females, age 11-50 years.
All underwent emergency resuscitation then the patients either admitted to the ward for further evaluation or underwent emergency exploration if indicated.
The mechanism of injury was blunt trauma in 18 patients 50%, penetrating trauma in 14 patients 38.9% and combined in 6 patients 11.1%.
The grades of injury were grades I & II in 16 patients 44.4%, grade III in 8 patients 22.1%, grade IV in 9 patients 25% and grade V in 3 patients 8.3%. Other organs involvement was found in 20 patients 55.5%, 4 patients 20% had blunt trauma, 15 patients 75% had penetrating trauma and one patient 5% had combined trauma.
Death occurred in 9 patients 25%, 8 (44.4%) had penetrating trauma and one patient 5.5% had blunt trauma .The commonest causes of death were septicemia and renal failure.
Type and severity of injury and other organs involvement are important factors in mortality of patients with renal injury