Traumatic Hematuria as a Manifestation of More Serious Renal Disease

Abstract

IN the past decade the literature on renal trauma has dealt with fundamentals of diagnosis and management during the early period after injury. Two cardinal issues — the value and risk of routine retrograde pyelography and the advisability of early surgical intervention as a policy — have monopolized debate and have shaped divergent programs of treatment.^{1 2 3 4 5 6 7} A recent experience with renal trauma indicates that the approach to the problem must take into account the possibility that the traumatized kidney is also the site of a pre-existing lesion. The importance of this special and additional factor has not yet been emphasized. . . .