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Upper Urinary Tract Trauma
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==== [https://www.aast.org/resources-detail/injury-scoring-scale#kidney AAST Grading] ==== {| class="wikitable" |'''<span style="color:#ff0000">Grade''' |'''<span style="color:#ff0000">Imaging criteria (CT findings)''' |- |'''<span style="color:#ff0000">I''' | * '''Subcapsular hematoma and/or parenchymal <span style="color:#ff0000">contusion</span> without laceration''' |- |'''<span style="color:#ff0000">II''' | * '''Perirenal hematoma confined to Gerota fascia''' * '''Parenchymal <span style="color:#ff0000">laceration β€1 cm depth without urinary extravasation''' |- |'''<span style="color:#ff0000">III''' | * '''Parenchymal <span style="color:#ff0000">laceration >1 cm depth without collecting system rupture or urinary extravasation''' * '''<span style="color:#ff0000">Any injury in the presence of a kidney vascular injury (pseudoaneurysm or AV fistula) or active bleeding contained within Gerota fascia''' |- |'''<span style="color:#ff0000">IV''' | * '''Parenchymal <span style="color:#ff0000">laceration extending into urinary collecting system with urinary extravasation''' * '''<span style="color:#ff0000">Active bleeding beyond Gerota fascia</span> into the retroperitoneum or peritoneum''' * '''<span style="color:#ff0000">Renal pelvis laceration and/or complete ureteropelvic disruption''' * '''<span style="color:#ff0000">Segmental renal vein or artery injury''' * '''<span style="color:#ff0000">Segmental or complete kidney infarction(s) due to vessel thrombosis without active bleeding''' |- |'''<span style="color:#ff0000">V''' | * '''<span style="color:#ff0000">Main renal artery or vein laceration or avulsion of hilum''' * '''<span style="color:#ff0000">Devascularized kidney</span> with active bleeding''' * '''<span style="color:#ff0000">Shattered kidney</span> with loss of identifiable parenchymal renal anatomy''' |} <nowiki>*</nowiki>Advance one grade for bilateral injury up to grade III [[File:Abdotrauma.png|center|thumb|600x600px|What Grade of injury is this based on the AAST classification? [[commons:File:Abdotrauma.PNG|Source]]]]
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