We present a revision of the renal trauma with emphasis in the radiographic evaluation, particularly ct scan that it has largely replaced the excretory urogram and arteriogram in the diagnostic worhup and management of the patient with renal trauma. It is the most commonly injured gu organ from civilian external trauma. The kidney is injured in up to 10 % of patients who sustain significant abdominal trauma. In general, blunt injuries are more common, accounting for up to 90%95% of renal injuries. Any condition in i10 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium. This second edition of icd 10 includes the corrigenda to volume 1 which appeared as an addendum to volume 3 of the first edition, as well as the updates that came into effect between 1998 and 2003. Most renal injuries 85 to 90% of cases result from blunt trauma. Of those, % are sportsrelated when the kidney, followed by testicle, is most frequently involved. Urologia practica 2011 traumatismo escrotal y testicular. Dolor abdominal intenso, debido a obstruccion o cualquier otro.
The icd10 classification of mental and behavioural disorders. The majority of blunt renal trauma cases are associated with injury to other abdominal organs, but they are commonly lowgrade injuries. Although titled icd 10, icd 10 pcs is not a derivative work of the international classification of diseases icd tenth revision pcs was designed and developed for cms centers for medicare and medicaid services. Genitourinary trauma is seen in both sexes and in all age groups, but is more common in males. We present an overview of renal trauma as illustrated by three interesting cases of blunt renal trauma who presented in quick succession of each other to the emergency department. The final result was a clear set of criteria for icd 10 and assessment instruments which can produce data necessary for the classification of disorders according to the criteria included in chapter vf of icd 10. The consequences are usually less severe than injuries involving other internal organs. International statistical classification of diseases and related health problems, 10th revision. Agenesia renal y otras malformaciones hipoplasicas del rinon. Icd 10 is the 10th revision of the international statistical classification of diseases and related health problems icd, a medical classification list by the world health organization who. A urinoma is the result of a breach of the integrity of the pelvis or calices of the kidney or of the ureter. Renal trauma patients are largely managed conservatively but on occasion have to be embolised or taken to theatre for definitive surgical management, usually in the form of emergency nephrectomy. Contemporary evaluation and management of renal trauma a male predominance of 3. Blunt renal injuries are the cause of greater than 90% of renal injuries in children, and the kidney is the most common organ injured in blunt abdominal trauma.
The american association for the surgery of trauma aast renal injury scale, most recently updated in 2018, is the most widely used grading system for renal trauma. Material and methods this is a descriptive study of patients diagnosed with renal trauma icd 10 at huv between 1 january 2003 and 31 december 2007. In the management of renal trauma, surgical exploration inevitably leads to nephrectomy in all but a few specialized centers. Overall about 65% of genitourinary gu injuries involve the kidney. However, the most frequent cause by far is traffic collisions, followed by falls. Aast kidney injury scale dr mahmoud ibrahim mekhaimar and assoc prof frank gaillard et al. Urinomas are usually caused by blunt trauma to the kidneys.
Aast kidney injury scale radiology reference article. In the setting of blunt renal trauma and selected instances of penetrating renal trauma, a nonoperative approach may be selected. Contemporary evaluation and management of renal trauma. The kidney is the most commonly injured organ in the genitourinary system and renal trauma is seen in up to 5% of all trauma cases 9,10, and in 10 % of all abdominal trauma cases 11. Injury of the upper urinary tract and renal trauma is causes by either blunt trauma or penetrating injury.
Quick search helps you quickly navigate to a particular category. The first casea 48yearoldfemale passenger in a road traffic accidentwas treated. It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. Renal trauma trauma is most common cause of death in children injuries to the kidneys account for 60% of genitourinary injuries 90% blunt trauma usually do not require operation 10 20% penetrating trauma more often require operation decelerationflexion injuries produce renal.
The kidney is injured in approximately 10 % of all significant blunt abdominal trauma. This is a descriptive study of patients diagnosed with renal trauma icd 10 at huv between. The urine collection in the perirenal fat causes an inflammatory response with lipolysis resulting in its fibrous encapsulation. Patient selection is the preliminary step in adopting a nonoperative management strategy to renal trauma.
In the management of renal trauma, surgical exploration typically leads to nephrectomy in all but a few specialized centers. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. A practical guide to evaluation and management article pdf available in the scientific world journal 4 suppl 1. The urological trauma guidelines were first published in 2003. Now customize the name of a clipboard to store your clips. Pan americna health organizationworld health organization. Diederichs and mutze, 2003 kawashima et al, 2002 meria and mazeman, 2000. It searches only titles, inclusions and the index and it works by starting to search as you type and provide you options in a dynamic dropdown list. The work on refining the icd 10 also helped to shape the assessment instruments. You may use this feature by simply typing the keywords that youre looking for and.
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