Citation

Benchekroun A, Lachkar A, Soumana A, Farih MH, Belahnech Z, Marzouk M, Faik M. Ann. Urol. (Paris) 1997; 31(5): 237-242.

Vernacular Title

Les traumatismes du rein. A propos de 30 cas.

Affiliation

Clinique Urologique A, CHU Ibn Sina, Rabat Maroc.

Copyright

(Copyright © 1997, Elsevier Publishing)

DOI

unavailable

PMID

9480625

Abstract

Renal trauma remains a topical subject due to its high incidence and the fact that it still raises therapeutic problems. The features of this disease were reviewed by means of a retrospective study of 30 cases of renal trauma observed over a 10-year period. The patients consisted of 27 males (90%) and 3 females (10%), with a mean age of 27 years (range: 20 to 60 years). The aetiology was largely dominated by road accidents (53%), falls (26%) and assaults (16%). Trauma was unilateral, predominantly affecting the left side (60%). The clinical features were dominated by haematuria (93%) and low back pain (90%). Trauma was associated with skeletal or visceral lesions in 46.6% of patients. Assessment of the lesions was based on IVU, ultrasonography and CT. Eight patients (26.6%) presented with moderate or minimal trauma (Chatelain stage 1 and 2) and were treated medically. Twenty-two patients (73%) were operated: 6 of them underwent total nephrectomy and 16 were treated conservatively. Seven of the operated patients subsequently developed complications.

Language: fr