Imaging of Genitourinary Trauma

被引:55
作者
Ramchandani, Parvati [1 ]
Buckler, Philip Michael [1 ]
机构
[1] Univ Penn, Med Ctr, Dept Radiol, Philadelphia, PA 19104 USA
关键词
blunt trauma; genital trauma; genitourinary trauma; kidney; penetrating trauma; scrotum; testicle; ureter; BLUNT ABDOMINAL-TRAUMA; RENAL TRAUMA; BLADDER RUPTURE; ORGAN INJURY; CONSENSUS STATEMENT; URETHRAL INJURY; CT CYSTOGRAPHY; INTERVENTIONAL RADIOLOGY; NONOPERATIVE TREATMENT; AMERICAN-ASSOCIATION;
D O I
10.2214/AJR.09.2470
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. Blunt and penetrating abdominal trauma can cause significant injury to the genitourinary organs, and radiologic imaging plays a critical role both in diagnosing these injuries and in determining the management. In this article, we describe and illustrate the spectrum of injuries that can occur in the genitourinary system in order to facilitate accurate and rapid recognition of the significant injuries. CONCLUSION. Imaging plays a crucial role in the evaluation of the genitourinary tract in a patient who has suffered either blunt or penetrating trauma because multiorgan injury is common in such patients. Contrast-enhanced CT is the primary imaging technique used to evaluate the upper and lower urinary tract for trauma. Cystography and urethrography remain useful techniques in the initial evaluation and follow-up of trauma to the urinary bladder and urethra.
引用
收藏
页码:1514 / 1523
页数:10
相关论文
共 72 条
  • [11] CT cystography with multiplanar reformation for suspected bladder rupture: Experience in 234 cases
    Chan, David P. N.
    Abujudeh, Hani H.
    Cushing, George L., Jr.
    Novelline, Robert A.
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2006, 187 (05) : 1296 - 1302
  • [12] Consensus statement on urethral trauma
    Chapple, C
    Barbagli, G
    Jordan, G
    Mundy, AR
    Rodrigues-Netto, N
    Pansadoro, V
    McAninch, JW
    [J]. BJU INTERNATIONAL, 2004, 93 (09) : 1195 - 1202
  • [13] MR imaging of acute penile fracture
    Choi, MH
    Kim, B
    Ryu, JA
    Lee, SW
    Lee, KS
    [J]. RADIOGRAPHICS, 2000, 20 (05) : 1397 - 1405
  • [14] INJURY TO MALE POSTERIOR URETHRA IN FRACTURED PELVIS - NEW CLASSIFICATION
    COLAPINTO, V
    MCCALLUM, RW
    [J]. JOURNAL OF UROLOGY, 1977, 118 (04) : 575 - 580
  • [15] Development of renal scars on CT after abdominal trauma: Does grade of injury matter?
    Dunfee, Brian L.
    Lucey, Brian C.
    Soto, Jorge A.
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2008, 190 (05) : 1174 - 1179
  • [16] Late renal functional and morphological evaluation after non-operative treatment of high-grade renal injuries in children
    El-Sherbiny, MT
    Aboul-Ghar, ME
    Hafez, AT
    Hammad, AA
    Bazeed, MA
    [J]. BJU INTERNATIONAL, 2004, 93 (07) : 1053 - 1056
  • [17] Favorito Luciano A., 2004, Int. braz j urol., V30, P35, DOI 10.1590/S1677-55382004000100008
  • [18] Bilateral adrenal haemorrhage and acute adrenal insufficiency in a blunt abdominal trauma: a case-report and literature review
    Francque, Sven M.
    Schwagten, Veerle M.
    Ysebaert, Dirk K.
    Van Marck, Eric A.
    Beaucourt, Luc A.
    [J]. EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2004, 11 (03) : 164 - 167
  • [19] Traumatic adrenal injuries
    Gabal-Shehab, L
    Alagiri, M
    [J]. JOURNAL OF UROLOGY, 2005, 173 (04) : 1330 - 1331
  • [20] Blunt urethral trauma: A unified, anatomical mechanical classification
    Goldman, SM
    Sandler, CM
    Corriere, JN
    McGuire, EJ
    [J]. JOURNAL OF UROLOGY, 1997, 157 (01) : 85 - 89