EVALUATION AND TREATMENT OF BLUNT RENAL I NJURIES

On the basis of a series of fifty-one blunt renal injuries and a revie w of literature, the characteristics of this affection are reviewed. T his trauma typically occurs in young adults. Minor injuries are the mo st frequent (75,5 percent) and associated lesions are not rare. Comput ed tomography is the imaging technique of choice for renal trauma asse ssment. It can, sometimes, be replaced by urography-ultrasonography co uple. Indications of these imaging modalities are reviewed. A classifi cation in four types, adapted to new imaging methods, is proposed to h armonize or to compare therapeutic indications. The different therapeu tic methods, their indications and their particularities are studied a nd a simple decisional strategy is proposed.