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World J Radiol. Aug 28, 2013; 5(8): 275-284
Published online Aug 28, 2013. doi: 10.4329/wjr.v5.i8.275
Published online Aug 28, 2013. doi: 10.4329/wjr.v5.i8.275
Imaging in renal trauma
Madhukar Dayal, Shivanand Gamanagatti, Atin Kumar, Department of Radiology, All India Institute of Medical Sciences, New Delhi 110029, India
Author contributions: Dayal M collected and analyzed the data and wrote the paper; Gamanagatti S designed the review and assembled the data; Kumar A scrutinized the format and made language corrections.
Correspondence to: Shivanand Gamanagatti, MD, Associate Professor of Radiology, Department of Radiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. shiv223@rediffmail.com
Telephone: +91-11-26594567 Fax: +91-11-26588663
Received: April 16, 2013
Revised: June 17, 2013
Accepted: July 23, 2013
Published online: August 28, 2013
Revised: June 17, 2013
Accepted: July 23, 2013
Published online: August 28, 2013
Core Tip
Core tip: Renal trauma is frequently seen following blunt and penetrating injuries. Surgery, as a method of treatment, is frequently required in severe injuries, with most minor injuries managed conservatively. Apart from the surgical grading by the American Association, an imaging-based grading system is now frequently used and helps to decide further management. Multidetector computed tomography is now the imaging modality of choice and can depict even the severest injuries. Depending upon the imaging findings, patients may be taken for interventional procedures rather than surgery. The American Association for the Surgery of Trauma classification has been updated, with vascular injuries now included, denoting a Grade V injury.