[Lesions of the renal pedicle in blunt abdominal trauma in children. 7 cases].
The frequency of urinary tract trauma in children is difficult to estimate. Renal pedicle lesions are estimated to represent 10% of all forms of urinary tract trauma. These lesions are difficult to diagnose and may be completely missed. Over a 12 year period, we have treated 7 children with a renal pedicle injury. Haematuria was immediate in 3 cases, delayed in 2 cases and absent in 2 cases. The diagnosis is based on intravenous urography or postcontrast computed tomography. Treatment consisted of disobstruction with intimal suture with a good result, but impaired renal function, an upper pole nephrectomy, functional aorto-renal bypass graft but with altered renal function, total nephrectomy and 3 cases of surveillance with one non-functioning kidney. None of these children are hypertensive. The authors discuss the diagnostic approach, the contribution of imaging and the therapeutic options and results.
Ricard
J
J
Service de Chirurgie Pédiatrique, CHU Amiens.
Richard
L
L
Tourneur
G
G
Plancq
M C
MC
Canarelli
J P
JP
D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D000293:Adolescent; D000359:Aftercare; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D015994:Incidence; D007668:Kidney / Q000293:injuries*; D008297:Male; D009392:Nephrectomy; D013536:Suture Techniques; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014567:Urography; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy
Les lésions du pédicule rénal dans les traumatismes fermés de l'abdomen chez l'enfant. A propos de 7 cas.