Urogenital injuries in childhood: a strong association of bladder trauma to bowel injuries.
We analysed the inter-relationships of the cause and the type of trauma, the presence of pelvic fracture, the associated intraabdominal organ injuries, and the morbidity and mortality rates in 154 patients presenting and being treated for UGT between 1983 and 1997. The cause of injury was blunt in 77% of cases and penetrating in 13%. The most frequently injured organs were kidney followed by urethra and bladder. Bowels, liver and spleen were the most frequently associated injured organs. Moreover, bladder injuries were strongly associated with bowel injuries (p < 0.0001). Hemodynamically normal 49 children with minor or major kidney injuries were managed conservatively. Hemodynamically non-stable 11 patients were explored. The majority of urogenital injuries can be managed conservatively even when associated with intraabdominal organ injuries. Solid genitourinary organ injuries may accompany more frequently to intraperitoneal solid organ injury. Whereas, non-solid genitourinary organ injuries may more frequently associated with injuries of intraperitoneal hollow viscus.
Dokucu
A I
AI
Department of Pediatric Surgery, Dicle University Hospital, Diyarbakir, Turkey. dokucu@hotmail.com
Ozdemir
E
E
Oztürk
H
H
Otçu
S
S
Onen
A
A
Ciğdem
K
K
Kaya
M
M
Bükte
Y
Y
Yücesan
S
S
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007422:Intestines / Q000293:injuries*; D008297:Male; D009104:Multiple Trauma / Q000150:complications / Q000453:epidemiology; D012189:Retrospective Studies; D001743:Urinary Bladder / Q000293:injuries; D014566:Urogenital System / Q000293:injuries*