PERANAN IMAJING PADA CIDERA GINJAL

DANIEL L.W

Trauma Tumpul Abdomen

80 % TRAUMA TUMPUL GINJAL

Trauma ginjal

PEMERIKSAAN IMAJING

• FPA

• USG

• IVP

• CT SCAN

• ARTERIOGRAFI

• MRI

• RADIONUKLIR

ANATOMI

FISIOLOGI

FUNGSI UTAMA> HOMEOSTASIS CAIRAN TUBUH

~ ekskresi

~ regulasi vol. cairan

~ regulaor tekanan darah

~ regulator mineral

~ keseimbangan asam-basa

Gambaran Klinik

Haematuri

Trauma lain

Tekanan Darah

Klasifikasi Trauma Tumpul GinjalA. KLASIFIKASI FEDERLE IMAJING

KATAGORI TKT / LUAS DAERAH YANG TERKENA

I MINOR

KONTUSIO

LASERASI KORTEK, TAK MELUAS KE DALAM KALIKS

II MAYOR

LASERASI KORTEKS YANG MELUAS KE PCS ( FAKTUR GINJAL )

III KERUSAKAN MASIF

TRAUMA PEDIKEL GINJAL

HANCURNYA GINJAL

IV TRAUMA PELVIOURETERO JUNCTION

                                                                           

Major injury to the renal hilar vessels with devascularization of the kidney is a grade V injury.

• .

Renal Trauma

                                                                                                                                                                   

Avulsion at the ureteropelvic junction is a major renal injury often associated with a large urinoma. This is considered a grade V injury.

                                                                           

The shattered kidney contains multiple deep lacerations often extending into the collecting structures and essentially separating the kidney into multiple fragments. This is a gradeV injury.

                                                                           

This is a grade IV injury in which the laceration extends into the collecting system. This results in urine extravasation as well as hematoma.

                                                                           

A laceration greater than 1 cm in length, but not extending into the collecting structures is a grade III lesion. Hematoma is often present, but no extravasation of urine.

                                                                           

A parenchymal laceration less than 1 cm in length is considered a grade II lesion. Varying degrees of perinephric hematoma may be present.

                                                                           

A perirenal hematoma without obvious laceration is considered a grade II lesion.

                                                                           

A subcapsular hematoma without apparent laceration is considered a grade I lesion.

Renal trauma

• PLAIN IVP

KESIMPULAN

• TRAUMA GINJAL SANGAT SULIT DIDETEKSI

• PEMERIKSAAN IMAJING PILIHAN : CT SCAN

TERIMA KASIH