Cushioning the blow: role of perirenal fat in renal trauma injury severity

Hakam, Nizar; Lui, Jason; Shaw, Nathan M.; Breyer, Benjamin N.

doi:10.1111/bju.15855

Cited by 4 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent paper revealed an inverse relationship between the thickness of the peri-renal fat and the occurrence of high-grade renal injuries. This relationship was not influenced by patients’ Body Mass Index and may be associated with their nutritional status [17].…”

Section: Text Of the Reviewmentioning

confidence: 78%

Blunt abdominal trauma: watch and wait

Cioffi,

Cimbanassi,

Chiara

2023

Current Opinion in Critical Care

View full text Add to dashboard Cite

Purpose This review examines recent advancements in nonoperative management (NOM) of hemodynamically stable blunt abdominal trauma, focusing on expanding patient selection for observation-first strategies, particularly for high-grade solid organ injuries. Recent Findings Advances include a more deliberate nonoperative approach, allowing for broader patient inclusion in diagnostic and interventional angiography. Strict clinical monitoring and appropriate follow-up strategies are crucial to identify early signs of clinical progression and complications. Repeated contrast-enhanced CT (CECT) scan can be used for close observation of high-risk injuries, while the repetition of CECTs may be avoided for lower-risk cases, such as specific high-grade kidney injuries. The role of contrast-enhanced ultrasound (CEUS) in detecting sequelae of nonoperative approaches is still debated and has lot of potential, with ongoing trials exploring possible advantages. Summary Multidisciplinary trauma teams play a crucial role in nonoperative management, particularly for high-grade injuries. A careful selection of patients is essential to minimize failure rates. Complications of nonoperative and angiographic approaches should be managed according to local expertise.

show abstract

Section: Text Of the Reviewmentioning

confidence: 78%

Blunt abdominal trauma: watch and wait

Cioffi,

Cimbanassi,

Chiara

2023

Current Opinion in Critical Care

View full text Add to dashboard Cite

show abstract

“…Tissue imaging study of other surrounding organs has received increasing attention. For example, perirenal fat thickness (PFT) is highly correlated with renal trauma grade ( 15 ), but it is often neglected in the imaging diagnosis of LSS patients and has not been reported. In magnetic resonance imaging studies of LSS combined with RNRs ( 6 , 13 , 16–18 ), it was shown that the sagittal and transverse diameters of the spinal canal at the level of maximal stenosis, the area of the dural sac, the thickness of the ligamentum flavum, and the presence or absence of disc herniation and lumbar spondylolisthesis contributed to the development of RNRs, and it was concluded that for female patients, the older they were, and the higher the degree of lumbar canal stenosis, the more likely they were to develop RNRs.…”

Section: Introductionmentioning

confidence: 99%

MRI parameters predict central lumbar spinal stenosis combined with redundant nerve roots: a prospective MRI study

Qian,

Liang,

Luo

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

BackgroundTo observe changes in the cauda equina nerve on lumbar MRI in patients with central lumbar spinal stenosis (LSS).Methods878 patients diagnosed with LSS by clinical and MRI were divided into the redundant group (204 patients) and the nonredundant group (674 patients) according to the presence or absence of redundant nerve roots (RNRs). The anteroposterior diameter of the spinal canal (APDS) and the presence of multiple level stenosis, disc herniation, thickening of ligamentum flavum (LF) and increased epidural fat were assessed on MRI. Univariate and multivariate logistic regression analyses were performed to explore the predictors of LSS combined with RNRs.ResultsPatients with LSS combined with RNRs had thicker epidural fat, smaller APDS and more combined multifaceted stenosis. Female patients and older LSS patients were more likely to develop RNRs; there was no difference between two groups in terms of disc herniation (p > 0. 05). Age, APDS, multiple level stenosis, and increased epidural fat were significantly correlated with the formation of LSS combined with RNRs (p < 0.05).ConclusionA smaller APDS and the presence of multiple level stenosis, thickening of LF, and increased epidural fat may be manifestations of anatomical differences in patients with LSS combined with RNRs. Age, APDS, multiple level stenosis, and increased epidural fat play important roles. The lumbar spine was measured and its anatomy was observed using multiple methods, and cauda equina changes were assessed to identify the best anatomical predictors and provide new therapeutic strategies for the management of LSS combined with RNRs.

show abstract