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J R Soc Med. 1987 January; 80(1): 21–22.
PMCID: PMC1290626

Renal trauma and the intravenous urogram.


A retrospective analysis of all patients with blunt abdominal trauma associated with haematuria admitted to one hospital (Royal United, Bath) in a 10-year period was conducted to establish the contribution of the intravenous urogram (IVU) in their management. Eighty-one case records were analysed. Of 35 IVUs performed in patients with microscopic (reagentstrip positive) haematuria, only one was abnormal. In contrast, 27 IVUs performed in patients with macroscopic (naked eye) haematuria revealed 17 major injuries and 5 previously unrecognized congenital abnormalities. It is concluded that an IVU is an unnecessary and non-contributory investigation in patients with microscopic haematuria and guidelines are suggested for the role of IVU in patients with blunt abdominal trauma associated with haematuria.

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Selected References

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  • Guerriero WG. Trauma to the kidneys, ureters, bladder, and urethra. Surg Clin North Am. 1982 Dec;62(6):1047–1074. [PubMed]
  • Nagar D. Renal insufficiency after intravenous pyelography. Surg Gynecol Obstet. 1980 Feb;150(2):236–237. [PubMed]

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