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Imaging Genitourinary Trauma.

Bari Dane1, Alexander B Baxter1, Mark P Bernstein1

  • 1Division of Trauma and Emergency Imaging, Department of Radiology, Bellevue Hospital/NYU Langone Medical Center, 550 1st Avenue, New York, NY 10016, USA.

Radiologic Clinics of North America
|January 28, 2017
PubMed
Summary
This summary is machine-generated.

Contrast-enhanced multidetector computed tomography (MDCT) is vital for trauma assessment, accurately diagnosing injuries to the kidneys, ureters, and bladder. This imaging technique guides critical management decisions, including the need for discharge, observation, angioembolization, or surgery.

Keywords:
Bladder traumaCT cystographyGenitourinary traumaKidney traumaRenal traumaUreteral traumaUrethral traumaUrinary tract trauma

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Area of Science:

  • Radiology
  • Trauma Imaging
  • Urologic Imaging

Background:

  • Contrast-enhanced multidetector computed tomography (MDCT) is a cornerstone in modern trauma care.
  • Accurate and timely diagnosis of genitourinary injuries is crucial for effective patient management.

Purpose of the Study:

  • To highlight the role of MDCT in evaluating blunt and penetrating abdominal trauma.
  • To emphasize the importance of MDCT in assessing renal, ureteral, and bladder injuries.
  • To outline the utility of MDCT in guiding clinical management and treatment decisions.

Main Methods:

  • Utilizing contrast-enhanced multidetector computed tomography (MDCT) for initial trauma assessment.
  • Employing delayed excretory phase imaging to detect urine leaks.
  • Integrating retrograde urethrography and sonography for urethral and testicular trauma evaluation, respectively.

Main Results:

  • MDCT provides rapid and accurate assessment of renal, ureteral, and bladder injuries in trauma patients.
  • CT findings effectively triage patients for appropriate management pathways.
  • Delayed imaging is essential for identifying urine extravasation, indicating significant injury.

Conclusions:

  • Contrast-enhanced MDCT is indispensable for the comprehensive evaluation of urinary tract trauma.
  • MDCT findings directly influence patient disposition and treatment strategies.
  • A multi-modality approach, including specific imaging techniques, ensures optimal diagnosis of all genitourinary trauma.