injuries poisoning
Renal Trauma
Key Points
Most civilian genitourinary injuries involve the kidney, most are due to blunt mechanisms, and most are low grade. Obtain contrast-enhanced CT for suspected moderate or severe injury (eg, gross hematuria, hypotension, mechanism or findings suggesting a significant renal injury). Consider surgery or therapeutic angiographic intervention for persistent bleeding, expanding perinephric hematoma, renal pedicle avulsions, or significant renovascular injuries, and ureteropelvic junction disruption. Consider a ureteral stent for persistent urinary extravasation. 