Renal trauma and the intravenous urogram | Zendy

C D Oakland | Zendy; J.M. Britton | Zendy; Clive Charlton | Zendy

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Renal trauma and the intravenous urogram

Author(s) -

C D Oakland,

J.M. Britton,

Clive Charlton

Publication year - 1987

Publication title -

journal of the royal society of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.38

H-Index - 81

eISSN - 1758-1095

pISSN - 0141-0768

DOI - 10.1177/014107688708000109

Subject(s) - medicine , blunt , abdominal trauma , intravenous contrast , blunt trauma , intravenous urography , radiology , surgery , computed tomography , general surgery , urinary system

A retrospective analysis of all patients with blunt abdominal trauma associated with haematuria admitted to one hospital (Royal United, Bath) in a 10-year period was conducted to establish the contribution of the intravenous urogram (IVU) in their management. Eighty-one case records were analysed. Of 35 IVUs performed in patients with microscopic (reagentstrip positive) haematuria, only one was abnormal. In contrast, 27 IVUs performed in patients with macroscopic (naked eye) haematuria revealed 17 major injuries and 5 previously unrecognized congenital abnormalities. It is concluded that an IVU is an unnecessary and non-contributory investigation in patients with microscopic haematuria and guidelines are suggested for the role of IVU in patients with blunt abdominal trauma associated with haematuria.

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