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RUPTURED KIDNEY A RETROSPECTIVE STUDY OF 100 CASES
Author(s) -
Wright J. E.
Publication year - 1965
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1965.tb04386.x
Subject(s) - medicine , surgery , hydronephrosis , abnormality , nephrectomy , retrospective cohort study , kidney , urinary system , psychiatry
S ummary A retrospective study of 100 patients with renal injury has been performed and immediate results assessed. Eighty‐six were males and 14 females. accidents were the commonest causes. Anterior, lateral or posterioi trauma can cause renal contusion. The pain experienced may be anterior or posterior. Haematuria was present in all except 2 patients. The severity and duration of haematuria bore no relation to the prognosis. Secondary haemorrhage occurred in only 6 patients and presented no clinical problem. Intravenous pyelography was performed in 49 patients, being normal in 16. Only 1 showed extravasation of dye. Two displaced ureters were detected and 2 pre‐existing lesions (a hydronephrosis and a polycystic kidney) were revealed. A definite calyceal abnormality (dilatation or distortion) was seen in 8 patients. A conservative policy was followed unless operation was forced by bleeding or deterioration in general condition. The mortality rate was 10 per cent. Only 3 of the deaths were unassociated with multiple severe injuries. These followed pulmonary infarction and tetanus. Sixteen nephrectomies were performed and 4 lacerated kidneys were surgically repaired. No reason was found from the study of immediate results to abandon the present policy.