Background
Radiological imaging of the renal tract is not indicated in adults with microscopic haematuria following blunt abdominal trauma, provided they are not shocked and have no major associated injuries.[Bestbets]. Discharged patients should be asked to attend their GP for check urinalysis in a fortnight.
CT Grade |
Injury |
Usual initial management for isolated injury |
|---|---|---|
Grade 1 |
Superficial cortical laceration, contusion and/or perirenal haematoma |
Admit CDU and observe |
Grade 2 |
Deep corticomedullary laceration involving the collecting system |
Admit urology for observation |
Grade 3 |
Renal crush injury and/or main vascular pedicle injury |
Admit urology for surgery |
Grade 4 |
Injury of the renal pelvis or the ureteropelvic junction |
Admit urology for surgery |