Kidney involvement secondary to trauma, blow or sudden deceleration.
There are numerous causes of renal trauma (traffic accidents, fortuitous falls, accidents at work, knife and firearm injuries, sports accidents, etc.).
They manifest themselves with pain in the dorsal lumbar area, haematoma, muscle contracture and blood in urine. If the fascia (layer) surrounding the kidney ruptures and no longer contains the haematoma, the patient may have signs and symptoms of hypovolemic shock due to massive bleeding.
Diagnosis is made through clinical history, physical examination and various tests (blood tests, abdominal X-ray, abdominal ultrasound, CT-scan, intravenous pyelography and/or arteriography) to confirm the diagnosis.
Treatment will depend on the lesion: if there is urine leakage or blood collections, they will be drained through percutaneous drains (through the skin). Cases of renal bursting, gunshot injuries and stab injuries will be operated on urgently.
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