[Abdominal contusions in children. Diagnosis and treatment of renal lesions. Apropos of 26 cases].
During the past ten years, we have treated 26 children with closed renal injuries. Hematuria appeared in 19 cases, but was not detected in 7 other cases, 6 of which corresponded to severe, especially pedicular, lesions. The diagnostic means for the lesion included IVP in 24 cases, ultrasonography in 23, angiography in 8 and computed tomography in 7. The treatment was medical for 18 children and surgical for 8. Observation revealed 4 cases of renal atrophy, including 1 of general atrophy without residual arterial hypertension. On the basis of this series and of a review of the literature, we study the evolution of the diagnosis and treatment of this condition with the development of new medical imaging techniques, especially of CT.
Robert
M
M
Service d'Urologie, Hôpital Lapeyronie, Montpellier.
Averous
M
M
Galifer
R B
RB
Guiter
J
J
Grasset
D
D
D000293:Adolescent; D000700:Analgesics / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006417:Hematuria / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D007103:Immobilization; D007668:Kidney / Q000293:injuries*; D007674:Kidney Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D008297:Male; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014567:Urography
D000700:Analgesics; D000900:Anti-Bacterial Agents
Contusions abdominales de l'enfant. Diagnostic et traitement des lésions rénales. A propos de 26 cas.