[Intravenous urography in blunt renal trauma]

In order to re-evaluate the indications for an acute excretory urography after blunt renal trauma, the medical records of 116 patients admitted to the Department of Urology, Odense University Hospital, during a ten year period were reviewed. Fourteen cases of major renal damage were revealed. Thirteen of these patients had macroscopic haematuria. Three of the thirteen were in shock and required an acute operation in order to stabilise their blood pressure. In one case, a 13-year-old girl had a major renal lesion which was diagnosed by acute excretory urography before examination of the urine. The present data support other reports in the literature stating that radiographic imaging is not necessary in the adult sustaining blunt renal trauma with microscopic haematuria and no shock.