Emergency Body CT > Trauma > Kidneys (cont.)


Kidneys (cont.)

Injury to the kidneys can be classified into one of four categories:

Class
Criteria
I
Contusions, small corticomedullary lacerations that do not communicate with the collection system
II
Laceration that communicates with the collection system
III
Shattered kidney, injury to the vascular pedicle
IV
UPJ avulsion, laceration of the renal pelvis



Grade I renal lacertion displaying the extension of injury
to the vascular pedicle.

Category I lesions are usually watched while surgery is usually indicated for Category III and IV Injuries. Category II lesions may be treated with surgery or conservative management.

 

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