Kidney Scintigraphy in Patients with Conservative Management of Renal Trauma at the Guatemalan Institute of Social Security
DOI:
https://doi.org/10.54212/27068048.v11i1.140Keywords:
Kidney, Trauma, Conservative treatment, Renal scintigraphyAbstract
Introduction: Renal trauma is the most common lesion of the urinary system, most of them require a better conservative and renal scintigraphy is a useful tool for the assessment of renal function in follow-up. Objective: Assessment of the use of renal scintigraphy in the follow-up of patients with renal trauma. Material and method: An observational, descriptive and prospective study of patients with a diagnosis of renal trauma was carried out, in the years from 2011 to 2022, treated at the Accident Hospital of the Guatemalan Social Security Institute (IGSS). 83 patients were included, of whom 34 underwent renal scintigraphy. Results and discussion: The ratio of renal trauma in men to women was 20:1, with a higher risk age range between 20-40 years, the majority due to blunt trauma, and grade I was the most documented, more Half of the patients presented another organ associated with abdominal trauma, among them liver trauma was the most frequent. Most of the patients received conservative treatment and follow-up with renal scintigraphy, evidencing that they presented a decrease in renal function compared to the contralateral one and even less than 40%. Conclusions: Minor renal trauma is the most frequent, so conservative treatment is preferable in most patients and follow-up with the use of renal scintigraphy is key to assessing the state of post-traumatic renal function.
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