For acute operative trauma, a one-shot IVP is indicated. Examples of renal trauma include renal contusion, parenchymal laceration, collecting system injury, fractured kidney, and pedicle injury. Management of renal trauma includes fluid resuscitation and bedrest. Laparotomy is indicated for hemodynamically unstable injuries, expanding retroperitoneal hematoma, penetrating injuries, nonviable renal tissue, and extravasation. Malignant Causes of Hematuria Renal Cell Carcinoma Staging studies for renal cell carcinoma include CXR, abdominal CT scan, MRI, serum alkaline phosphatase, calcium level.
Bone scan is indicated if serum alkaline phosphatase is elevated.
Transitional Cell Carcinoma Diagnosis and staging of transitional cell carcinoma of the kidney involves IVP, retrograde pyelogram, ultrasound, CT scan, and bone scan. Surgical management includes perifascial nephroureterectomy with cuff of bladder and cystoscopic surveillance. Chemotherapy is indicated.