For a summary of the types of injuries GU organs may sustain, see Table 3.
Kidney and Ureter
The kidneys and ureter are protected by adjacent anatomic structures, but they are suspended from the renal pedicle, without other firm attachments. As a result, blunt trauma to these organs is usually secondary to a rapid deceleration injury as opposed to being from direct trauma. The forces of deceleration can cause a spectrum of injuries to the parenchyma, from contusions to a shattering of the kidney. Additionally, the vascular supply to and from the kidney can be injured, which can lead to necrosis if left untreated.38