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Imaging of Genitourinary Trauma

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Trauma Computed Tomography
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Abstract

Traumatic injuries are the leading cause of death in Americans under 45 years of age and the third most common cause of death for all Americans. Diagnostic imaging, in particular computed tomography (CT), has become essential in the evaluation of trauma patients because of its ability to provide rapid, accurate, and detailed information. CT scanning plays an important role in detecting injuries to the genitourinary system, including the adrenal glands, kidneys, ureters, urinary bladder, urethra, and genitalia. In addition, CT scanning can help identify actionable complications such as active hemorrhage, organ dysfunction, and fluid collections.

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References

  1. Ramchandani P, Buckler PM. Imaging of genitourinary trauma. Am J Roentgenol. 2009;192(6):1514–23.

    Article  Google Scholar 

  2. Noorbakhsh A, Aganovic L, Vahdat N, Fazeli S, Chung R, Cassidy F. What a difference a delay makes! CT urogram: a pictorial essay. Abdom Radiol. 2019;44(12):3919–34.

    Article  Google Scholar 

  3. Chan DPN, Abujudeh HH, Cushing GL, Novelline RA. CT cystography with multiplanar reformation for suspected bladder rupture: experience in 234 cases. Am J Roentgenol. 2006;187(5):1296–302.

    Article  Google Scholar 

  4. Joshi G, Kim EY, Hanna TN, Siegel CL, Menias CO. CT cystography for suspicion of traumatic urinary bladder injury: indications, technique, findings, and pitfalls in diagnosis: RadioGraphics fundamentals | online presentation. Radiographics. 2018;38(1):92–3.

    Article  PubMed  Google Scholar 

  5. Mattox KL, Moore EE, Feliciano DV. Trauma. 9th ed. New York: McGraw-Hill Medical; 2021.

    Google Scholar 

  6. Moore EE, Shackford SR, Pachter HL, McAninch JW, Browner BD, Champion HR, et al. Organ injury scaling: spleen, liver, and kidney. J Trauma. 1989;29(12):1664–6.

    Article  CAS  PubMed  Google Scholar 

  7. Kozar RA, Crandall M, Shanmuganathan K, Zarzaur BL, Coburn M, Cribari C, et al. Organ injury scaling 2018 update: spleen, liver, and kidney. J Trauma Acute Care Surg. 2018;85(6):1119–22.

    Article  PubMed  Google Scholar 

  8. Venkatanarasimha N, Roobottom C. Intense adrenal enhancement: a feature of hypoperfusion complex. Am J Roentgenol. 2010;195(1):W82.

    Article  Google Scholar 

  9. Burks DW, Mirvis SE, Shanmuganathan K. Acute adrenal injury after blunt abdominal trauma: CT findings. Am J Roentgenol. 1992;158(3):503–7.

    Article  CAS  Google Scholar 

  10. Moore EE, Malangoni MA, Cogbill TH, Peterson NE, Champion HR, Jurkovich GJ, et al. Organ injury scaling VII: cervical vascular, peripheral vascular, adrenal, penis, testis, and scrotum. J Trauma. 1996;41(3):523–4.

    Article  CAS  PubMed  Google Scholar 

  11. Alonso RC, Nacenta SB, Martinez PD, Guerrero AS, Fuentes CG. Kidney in danger: CT findings of blunt and penetrating renal trauma. Radiographics. 2009;29(7):2033–53.

    Article  PubMed  Google Scholar 

  12. Kawashima A, Sandler CM, Corl FM, West OC, Tamm EP, Fishman EK, et al. Imaging of renal trauma: a comprehensive review. Radiographics. 2001;21(3):557–74.

    Article  CAS  PubMed  Google Scholar 

  13. Voelzke BB, Leddy L. The epidemiology of renal trauma. Transl Androl Urol. 2014;3(2):143–9.

    PubMed  PubMed Central  Google Scholar 

  14. Brandes SB, McAninch JW. Urban free falls and patterns of renal injury: a 20-year experience with 396 cases. J Trauma Inj Infect Crit Care. 1999;47(4):643.

    Article  CAS  Google Scholar 

  15. Lee YJ, Oh SN, Rha SE, Byun JY. Renal Trauma. Radiol Clin N Am. 2007;45(3):581–92.

    Article  PubMed  Google Scholar 

  16. Smyth A, Collins CS, Thorsteinsdottir B, Madsen BE, Oliveira GHM, Kane G, et al. Page kidney: etiology, renal function outcomes and risk for future hypertension: page kidney. J Clin Hypertens. 2012;14(4):216–21.

    Article  CAS  Google Scholar 

  17. Moore EE, Cogbill TH, Jurkovich GJ, McAninch JW, Champion HR, Gennarelli TA, et al. Organ injury scaling. III: chest wall, abdominal vascular, ureter, bladder, and urethra. J Trauma. 1992;33(3):337–9.

    Article  CAS  PubMed  Google Scholar 

  18. Brandes S, Coburn M, Armenakas N, McAninch J. Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int. 2004;94(3):277–89.

    Article  PubMed  Google Scholar 

  19. Ali M, Safriel Y, Sclafani SJA, Schulze R. CT signs of urethral injury. Radiographics. 2003;23(4):951–63.

    Article  PubMed  Google Scholar 

  20. Avery LL, Scheinfeld MH. Imaging of male pelvic trauma. Radiol Clin N Am. 2012;50(6):1201–17.

    Article  PubMed  Google Scholar 

  21. Moore EE, Jurkovich GJ, Knudson MM, Cogbill TH, Malangoni MA, Champion HR, et al. Organ injury scaling. VI: extrahepatic biliary, esophagus, stomach, vulva, vagina, uterus (nonpregnant), uterus (pregnant), fallopian tube, and ovary. J Trauma. 1995;39(6):1069–70.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Joanie Garratt .

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Garratt, J., Im, J., Gupta, A., Hill, P., Suresh, K. (2023). Imaging of Genitourinary Trauma. In: Knollmann, F. (eds) Trauma Computed Tomography. Springer, Cham. https://doi.org/10.1007/978-3-031-45746-3_8

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  • DOI: https://doi.org/10.1007/978-3-031-45746-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-45745-6

  • Online ISBN: 978-3-031-45746-3

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