Abstract
Objective: To assess and manage status of renal
injuries at our institution.
Methodology: This retrospective study comprised of
records of 30 patients with renal injury between
January 2016 to December 2019. Blunt and
penetrating trauma at lumbar region and abdomen
were included in the study while patients with DM,
HTN and patients with preexisting renal diseases were
excluded from study. All patients were followed up to
3 months for episodes of hematuria. Diagnostic
information obtained from hospital record includes
signs and symptoms, physical and systemic
examination, age, gender, time of trauma, and
comorbidity. All patients had Blood CP, ESR, Urine
DR, Blood urea, Serum creatinine, Blood sugar level,
Serum electrolyte, X-Ray abdomen sitting and lying,
Ultrasound and CT KUB with contrast.
Results: Mean age of patients was 31 ± 10.42 years
with male to female ratio 1:0.2. Duration of time since
injury was 2.15 ± 0.86 hours with confident interval
(CI 0 – 8) seen in causality with hematuria, abdominal
and renal injury. Penetrating trauma was seen in 10
(33.33%) patients and blunt trauma in 20 (66.66%).
50% patients treated by the conservative management
who were hemodynamically stable, while 7 (23.33%)
needed explorative laparotomy and 8 (26.66%) who
had high – grade renal trauma needed Nephrectomy/
Renal cortical repair. Two patients (6.66%) died due to
multiple visceral injuries.
Conclusion: Renal injury is usually associated with
multisystemic injury, so require timely evaluation and
management to minimize urologic morbidity and
mortality.
Keywords: Renal injury, evaluation, nephrectomy
