AbstractBackground: Blunt renal trauma is a frequent consequence of abdominal injuries and represents a significant diagnostic challenge in emergency settings. Accurate and rapid imaging is essential for injury detection, grading, and guiding appropriate management. Contrast-enhanced computed tomography (CT) has become the imaging modality of choice for evaluating renal trauma due to its high diagnostic accuracy and ability to demonstrate both parenchymal and vascular injuries. Aim: To evaluate the diagnostic contribution of MRI pattern recognition in cervical spondylosis and investigate its correlation with clinically relevant degenerative cervical spine changes.
Methods: This prospective observational study included patients with clinically suspected blunt renal trauma who underwent contrast-enhanced multidetector CT scanning. Imaging findings were analyzed for renal parenchymal injuries, collecting system involvement, perirenal hematoma, vascular injury, and associated abdominal trauma. Renal injuries were classified according to the American Association for the Surgery of Trauma (AAST) renal injury grading system. Imaging results were correlated with clinical presentation and management outcomes.
Results: Contrast-enhanced CT successfully identified renal injuries across all AAST grades, with high sensitivity for detecting renal lacerations, hematomas, urinary extravasation, and vascular complications. Low-grade injuries (Grades I–II) were most commonly observed and were managed conservatively, while higher-grade injuries (Grades III–V) demonstrated a greater association with intervention or surgical management. CT findings played a decisive role in treatment planning and reduced the need for unnecessary exploratory surgery.
Conclusion: Contrast-enhanced CT is a reliable, comprehensive, and indispensable imaging modality for the evaluation of blunt renal trauma. Its ability to accurately detect, grade, and characterize renal injuries makes it essential for guiding appropriate clinical management and improving patient outcomes in emergency trauma care
