The role of emergency excretory urography in evaluation of blunt, abdominal trauma

Ej, McDONALD; Korobkin, Melvyn; Jacobs, RP; Minagi, Hideyo

doi:10.2214/ajr.126.4.739

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1980

1988

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Cited by 16 publications

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“…The number of red blood cells (RBCs) in randomly selected microscopic fields was counted and reported as RBCs per high-power field (HPF). 3. The results of the IVP reported in the admission note.…”

Section: Methodsmentioning

confidence: 99%

Emergency Intravenous Pyelography in the Trauma Patient

et al. 1985

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Section: Methodsmentioning

confidence: 99%

Emergency Intravenous Pyelography in the Trauma Patient

et al. 1985

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Haematuria after blunt trauma: the role of pyelography

Demetriades

Rabinowitz

Sofianos

et al. 1985

British Journal of Surgery

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This study is a combined prospective and retrospective review of 208 patients presenting with haematuria after blunt abdominal trauma. One hundred and twelve patients had an urgent intravenous pyelogram (IVP) with cystogram performed, while the remaining ninety-six were observed with serial urinalysis without any further investigation. Nineteen of the twenty-three patients with a positive IVP had gross haematuria and the remaining four had microscopic haematuria. Twenty-two of the patients with an abnormal IVP had positive abdominal signs, whilst only one case (with severe head injury) had no abdominal signs. In the 96 cases who were observed without IVP no complications occurred. It is suggested that if certain clinical criteria are observed most patients with post-traumatic microscopic haematuria can safely be spared an IVP. Indications for emergency IVP should include: gross haematuria or microscopic haematuria associated with abdominal signs or severe head injury or fracture of pelvis or spine. Had these criteria been observed during this study, 130 patients (62 per cent) would have avoided the risks and expenses of an IVP, and no significant urological injury would have been missed.

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Urinary Tract Trauma

Gwinn¹,

Stanley²

1980

Current Diagnostic Pediatrics

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The role of emergency excretory urography in evaluation of blunt, abdominal trauma

Cited by 16 publications

References 7 publications

Emergency Intravenous Pyelography in the Trauma Patient

Emergency Intravenous Pyelography in the Trauma Patient

Haematuria after blunt trauma: the role of pyelography

Urinary Tract Trauma

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