Clinical Case Database / Category: Case Based Discussion

Renal trauma

Publication details

Sailaja Pisipati MBBS MRCS, Ian Pearce BMedSci BMBS FRCS (Urol)
Foundation Years Journal, volume 1, issue 6, p.28 (123Doc Education, London, October 2007)


Renal trauma occurs in approximately 1–5 % of all trauma. The kidney is the most commonly injured genitourinary organ, with a male to female ratio of 3:1. The majority of renal injuries can be managed conservatively, although occasionally it can be acutely life-threatening. Approximately 10% of patients sustaining abdominal trauma have an injury to the genitourinary tract (1-4).

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Sailaja Pisipati MBBS MRCS

Clinical Fellow
Department of Urology
Manchester Royal Infirmary

Ian Pearce BMedSci BMBS FRCS (Urol) (Corresponding author)

Consultant Urological Surgeon
Department of Urology
Manchester Royal Infirmary
M13 9WL


1.  European Association of Urology Guidelines; 16.1.1 – 16.1.7: 5 – 17

2.  McAninch J.W, Santucci R.A. Genitourinary trauma. Campbell’s Urology 2002: 3707–3714

3.  McAninch J.W, Safir M.H. Genitourinary Trauma. Comprehensive Urology 2001: 637–650

4.  Santucci R.A, Wessells H. Bartsch G. et al. Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee. BJU International 2004; 93: 937–954

5.  Sahin H, Akay A.F, Yilmaz G. et al. Retrospective analysis of 135 renal trauma cases. International Journal of Urology, May 2004; 11:5:332-336

6.  Bretan P.N. Jr, McAninch J.W, Federle M.P. et al. Computerized tomographic staging of renal trauma: 85 consecutive cases. Urol 1986; 136 (3): 561 – 565

7.  Wang Q.R, Qin W, Wang H, et al. Diagnosis and treatment of renal trauma in 298 patients. J Traumatol 2002; 5 (1): 21 – 23

8.  Thall E.H, Stone N.N, Cheng D.L, et al. Conservative management of penetrating and blunt type renal injuries. Br J Urol 1996; 77 (4): 512 – 517.

9.  Cheng D.L, Lazan D, Stone N. Conservative treatment of type renal trauma. J Trauma 1994; 36 (4): 491 – 494

10.  Serafetinides E, Mitropoulos D, Constantinedes C. et al. Management of renal gunshot injuries. J Urol 2004; 171: 20

11.  Hagiwara A, Sakaki S, Goto H. et al. The role of interventional radiology in the management of blunt renal injury: a practical protocol. J Trauma 2001; 51 (3): 526 – 531


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