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Journal of The Korean Society of Emergency Medicine 1996;7(1): 55-58. |
| SIGNIFICANCE OF MICROSCOPIC HEMATURIA IN DIAGNOSIS OF RENAL TRAUMA |
| Joung Hwan Lim1, Bong Ryoul Oh1, Gook Ju Na1, Hyun Soo Kim1, Han Deok Yoon2, Tag x Yoon2, Suck Ju Cho2, Yong Il Min2 |
1Department of Urology, Chonnam University, Medical School Kwangju, Korea
2Department of Emergency Medicine, Chonnam University, Medical School. Kwangju, Korea |
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Published online: March 31, 1996. |
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| ABSTRACT |
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The evaluation of patients with microscopic hematuria after blunt abdominal trauma has become controversial. We tested the hypothesis that renal contusion can be diagnosed clinically and that these patients do not require radiographic evaluation. To evaluate the association of microscopic hematuria without shock and with renal injury, we reviewed the medical records of 252 patients following blunt abdominal trauma. Microscopic hematuria without shock was noted in 58 of 252 patients. Of the 58 patients 52 had renal contusion. 4 had renal laceration, 1 had a renal rupture and 1 had a renal pedicle injury. All of the patients with renal contusions experienced no complications from nonoperative management. But. avoiding a radiopraphic evaluation in patients with blunt renal trauma plus microscopic hematuria and no shock would miss a few cases of severe renal injury. |
| Key words:
Renal injury, Hematuria; microscopic |
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