title: Blunt renal injuries in Turkish children: a review of 205 cases.
abstract: A retrospective analysis of the medical records of 205 children with renal injuries secondary to blunt abdominal trauma is used to make recommendations regarding the initial diagnostic and therapeutic approaches in this type of patient. It was found that the absence of hematuria on initial urinalysis does not exclude a serious renal injury. Thus, following blunt abdominal trauma, all children should undergo imaging procedures to exclude renal injury, whether they have hematuria or not. Ultrasound is a good initial screening procedure in all patients. Computed tomography is recommended for the definitive evaluation of suspected major renal injuries. Since even major renal injuries may heal without surgical intervention, conservative management is the recommended initial treatment of choice. Surgery is reserved for those children who are hemodynamically unstable and those that develop complications.
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, University of Gaziantep, Kolejtepe, 27070 Gaziantep, Turkey. halukceylan@yahoo.com
authors.forename: Haluk
authors.initials: H
authors.lastname: Ceylan
authors.forename: Cuneyt
authors.initials: C
authors.lastname: Gunsar
authors.forename: Barlas
authors.initials: B
authors.lastname: Etensel
authors.forename: Aydin
authors.initials: A
authors.lastname: Sencan
authors.forename: Irfan
authors.initials: I
authors.lastname: Karaca
authors.forename: Erol
authors.initials: E
authors.lastname: Mir
mesh_terms: D000007:Abdominal Injuries / Q000150:complications; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007223:Infant; D007668:Kidney / Q000293:injuries*; D008297:Male; D009392:Nephrectomy; D012189:Retrospective Studies; D014421:Turkey; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery