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.
Key words: Renal injury, evaluation, management.
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