שאלה משלב א׳ בכירורגיה אורולוגית · מועד 2022, שאלה 79

Correct: B — for continuing bleeding the treatment is superselective angioembolisation of the bleeding vessel. The modern management of blunt renal trauma in children is non-operative wherever haemodynamic stability permits, since the kidney is highly salvageable and exploration frequently ends in nephrectomy; persistent or recurrent bleeding is dealt with by selective embolisation. Contrast extravasation from the collecting system does not require immediate operative repair (option A) and usually resolves with observation, a stent being added only for a large or persistent leak rather than in half of cases (option C); and routine repeat CT at 48–72 hours is not required in every high-grade injury, being reserved for fever, falling haematocrit or worsening pain (option D).

מקור: ch.52, עמ ' 1071-1073 ימין, TableKEY POINTS בראש הp.