Management of renal and ureteric injuries, and retroperitoneal haematoma

Retroperitoneal injuries form a special subgroup of abdominal trauma. Injuries of kidney and ureter as well as methods of management of retroperitoneal haematoma are discussed in this chapter. High-dose infusion urography is recommended in renal injuries. Angiography may give valuable additional information. A retroperitoneal haematoma in the upper part of th abdomen may mask serious injuries of other retroperitoneal organs, pancreas, duodenum or main vessels. A midline approach is recommended for exploration and treatment of these injuries.