[Kidney injuries in children].
Over the past 4 years 18 children were observed at the La Timone-Enfants Hospital in Marseille with renal lesions consequent to nonpenetrating abdominal traumas. Hematuria was reported in 14 cases (7 macroscopic and 7 microscopic) and all cases suffered from abdominal and/or lumbar pain. In relation to the diagnostic iter used: 18 echographies, 15 urographies, 13 TAC, 2 ascendant pyelographies, 2 scintigraphies with DMSA, 1 echo-Doppler and one angiography were performed. Renal lesions were classified as: 8 type 1, 5 type 2, 4 type 3, 1 type 4. Four cases were operated and one case underwent percutaneous drainage of an urohematoma. Following an analysis of these case and a revision of the literature, the authors emphasise that the evolution and progress in the diagnosis and treatment of this important aspect of traumatic pathology in children enables an almost complete recovery of kidney function in almost all cases.
Esposito
C
C
Dipartimento di Chirurgia Pediatrica, Ospedale La Timone-Enfants--Marsiglia, Francia.
Guys
J M
JM
Borrionne
C L
CL
Monfort
G
G
D000007:Abdominal Injuries / Q000150:complications*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003288:Contusions / Q000175:diagnosis; D005260:Female; D006406:Hematoma / Q000175:diagnosis; D006801:Humans; D007668:Kidney / Q000293:injuries*; D007674:Kidney Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D008297:Male; D012421:Rupture / Q000175:diagnosis; D017695:Soft Tissue Injuries / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications*
Traumi renali nell'infanzia.