The role of multi-detector computed tomography with 3D images in evaluation and grading of renal trauma

Kidney and uro-trauma: WSES-AAST guidelines

“…CT scan with intravenous contrast is considered the gold standard in blunt and penetrating trauma [14, 15, 17, 75, 91–95]. In renal and urogenital trauma, the arterial and venous phases (20–30 s and 70–80 s of delay in acquiring the images, respectively) allow identification of almost all injuries and the addition of a 5-min delayed phase (excretory phase) permits the identification of urinary extravasation [5, 13, 14, 16, 75, 96–99].…”

“…CT-scanning should always be considered in patients with associated severe brain injury and in any major injuries for the high probability of occurrence of associated injuries [100]. Three-dimensional CT reconstructions help in injury classification [95, 101, 102]. the CT cystogram is a useful and viable tool and more accurate than plain X-ray cystography [14].…”

Study of Role of Multi Slice Computed Tomography in Evaluation of Blunt Renal Trauma

“…In agreement with Alonso et al (4) who reported most genitourinary organ closure injuries are the result of blunt abdominal trauma, with auto accidents being the leading cause of this type of injury. And also, Osman et al (8) which stated that The leading cause of blunt abdominal injuries is motor vehicle accidents (63.4%), followed by falls from height (4.9%). also Peng et al (10) reported Accidents involving motor vehicles accounted for 34.1%, falls from great heights for 24.6%, and blunt force trauma accounted for 17.5%.…”

“…However, MDCT allows for a quick and precise assessment of the condition of abdominal organs, the retro-peritoneum, and the abdominal wall. In recent years, MDCT has inspired non-surgical approaches to treating blunt intra-abdominal trauma (8) .…”

“…This is consistent with Awe et al (9) that there were 8.6 times as many male patients as female ones. Also, Osman et al (8) stated that the incidence of blunt trauma in male is more compared to females.…”