Traumatismo renal
At Montefiore Einstein Urology, you can access exceptional care for kidney, or renal, trauma. As a global leader in urology, we are an academic-based, national and international referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.
Montefiore Einstein se encuentra dentro del 1 % de los mejores hospitales del país en urología según U.S. News & World Report, y continúa impulsando el diagnóstico y tratamiento de las afecciones genitourinarias. Nuestro equipo multidisciplinario de especialistas de renombre mundial trabaja con pasión para descubrir los enfoques diagnósticos y tratamientos más novedosos que pueden mejorar los resultados.
En el Departamento de Urología de Montefiore Einstein, ofrecemos planes de tratamiento compasivos, personalizados y basados en la investigación que cumplen con los más altos estándares de calidad y seguridad. Además, ponemos a disposición de los pacientes una amplia gama de servicios de apoyo, que van desde la orientación nutricional hasta las terapias de rehabilitación.
When you need kidney trauma care, turn to our dedicated multidisciplinary team for a personalized treatment plan.
¿Qué es el traumatismo renal?
Kidney trauma refers to injury to one or both kidneys caused by external forces such as blunt trauma (from motor vehicle accidents, falls, or sports injuries) or penetrating trauma (from sharp objects, gunshot wounds, or stabbings). These injuries can range from mild contusions to severe lacerations or vascular damage, potentially impairing kidney function. Immediate evaluation and appropriate treatment are essential to prevent complications.
Causes of Kidney Trauma
Kidney trauma is typically caused by blunt or penetrating injuries. Blunt trauma results from impacts such as car accidents, falls, or direct blows to the back or abdomen, which can damage the kidney without breaking the skin. Penetrating trauma occurs when an object such as a knife or bullet pierces the skin and damages the kidney. Kidney trauma may also result from high-energy injuries, such as crush injuries or severe physical exertion.
Signs & Symptoms of Kidney Trauma
Los síntomas de un traumatismo renal dependen de la gravedad de la lesión y pueden ser hematuria (sangre visible en la orina), hematomas o dolor en la zona lumbar o abdominal, e hinchazón cerca del lugar de la lesión. En casos graves, los síntomas pueden ser presión arterial baja, dificultad para orinar o shock por hemorragia interna. Los pacientes con traumatismo penetrante también presentan una herida de entrada visible en el lugar de la lesión.
Diagnosing Kidney Trauma
Diagnosing kidney trauma begins with a thorough physical examination and urinalysis to check for blood in the urine. Imaging studies, such as a computed tomography (CT) scan with contrast, are the gold standard for assessing the severity and location of the injury. Additional diagnostic tools, including ultrasound or intravenous pyelogram (IVP), may be used to evaluate kidney function and detect complications such as vascular injuries or urinary leakage.
Treating Kidney Trauma
Treatment for kidney trauma varies depending on the severity of the injury and the patient’s overall health:
- Mild Cases: Rest, pain management and close monitoring can ensure proper healing.
- Moderate to Severe Cases: Minimally invasive surgical techniques may be required to repair kidney lacerations, control bleeding or address urinary leakage.
- Life-Threatening Cases: Emergency surgery including nephrectomy (removing the kidney) may be necessary.