Ceylan Haluk, Gunsar Cuneyt, Etensel Barlas, Sencan Aydin, Karaca Irfan, Mir Erol
Department of Pediatric Surgery, Faculty of Medicine, University of Gaziantep, Kolejtepe, 27070 Gaziantep, Turkey.
Pediatr Surg Int. 2003 Dec;19(11):710-4. doi: 10.1007/s00383-003-1033-2. Epub 2003 Oct 15.
A retrospective analysis of the medical records of 205 children with renal injuries secondary to blunt abdominal trauma is used to make recommendations regarding the initial diagnostic and therapeutic approaches in this type of patient. It was found that the absence of hematuria on initial urinalysis does not exclude a serious renal injury. Thus, following blunt abdominal trauma, all children should undergo imaging procedures to exclude renal injury, whether they have hematuria or not. Ultrasound is a good initial screening procedure in all patients. Computed tomography is recommended for the definitive evaluation of suspected major renal injuries. Since even major renal injuries may heal without surgical intervention, conservative management is the recommended initial treatment of choice. Surgery is reserved for those children who are hemodynamically unstable and those that develop complications.
