title: [Kidney injuries in childhood: our experience in 64 cases].
abstract: From 1969 to 1988, 64 children under 5 years of age with renal trauma were treated at our Urology service. Trauma was classified as grade I in 34, grade II in 23, grade III in 3, and 4 patients presented with trauma to pathologic kidney. Eight patients were submitted to immediate surgery (3 grade II, 3 grade III, and 2 with trauma to pathologic kidney). Twelve were initially treated conservatively and were deferred for surgery (11 with grade II trauma and 1 with trauma to pathologic kidney). The remaining 44 patients (34 grade 1, 9 grade II, and 1 with trauma to pathologic kidney) only received medical treatment. The renal unit could be salvaged in 34 cases with grade I trauma (100%) and in 2 of 3 (66.6%) with grade III trauma who underwent immediate surgery. In patients with grade II trauma submitted to immediate surgery, 1 out of 3 patients (33.3%) required a nephrectomy procedure, whereas in those patients submitted to conservative treatment and or deferred surgery, only 1 out of 20 (5%) required a nephrectomy procedure. The results reported in the literature are discussed and compared with our results.
authors.affiliation: Servicio de Urología, Hospital La Paz, Facultad de Medicina, Universidad Autónoma, Madrid, España.
authors.forename: P I
authors.initials: PI
authors.lastname: Cárcamo Valor
authors.forename: L
authors.initials: L
authors.lastname: Hidalgo Togores
authors.forename: J M
authors.initials: JM
authors.lastname: Cózar Olmo
authors.forename: J
authors.initials: J
authors.lastname: Navarro Sebastián
authors.forename: M J
authors.initials: MJ
authors.lastname: García Matres
authors.forename: J A
authors.initials: JA
authors.lastname: Martínez-Piñeiro
mesh_terms: D000059:Accidents / Q000706:statistics & numerical data; D000293:Adolescent; D000367:Age Factors; D001265:Athletic Injuries / Q000453:epidemiology / Q000628:therapy; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007668:Kidney / Q000293:injuries*; D008297:Male; D009104:Multiple Trauma; D009392:Nephrectomy; D013030:Spain / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology / Q000628:therapy
vernacular_title: Traumatismos renales en la infancia: nuestra experiencia en 64 casos.