R. Kulmala et al., ETIOLOGY, DIAGNOSIS AND TREATMENT OF PATIENTS WITH RENAL TRAUMA - A SURVEY ON PATIENTS IN THE TAMPERE AREA DURING 2 DECADES, Annales chirurgiae et gynaecologiae, 82, 1993, pp. 84-89
A material of 185 renal traumas treated during 1972-1991 was analyzed.
A typical patient was a young man; the mean age was 30 years. The mos
t common aetiology was traffic accident (45 %). Penetrating traumas we
re rare (2 %). The most common and significant finding was macroscopic
haematuria, but the absence of haematuria did not exclude renal traum
a. Unexpected findings were seen in 7 % of cases. The most common rena
l injuries were contusion (69 %) and laceration (20 %) which were most
ly treated conservatively (85 %) with good results. Only 15 % of patie
nts were operated. Renal complications were few both in the conservati
vely and in the surgically treated patients. No mortality was seen.