Management of high-grade renal injuries in children after blunt abdominal trauma: Experience of 40 cases

Salem, Hosni; Morsi, Hany A.; Zakaria, Ahmad

doi:10.1016/j.jpurol.2006.07.006

Cited by 27 publications

(20 citation statements)

References 19 publications

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“…Importantly, work evaluating children with high-grade renal injuries from major blunt trauma (car crashes or falls from height) show that long-term identifiable sequelae occur uncommonly. 22 In addition, as of December 2, 2011, the Organ Procurement and Transplantation Network reported that zero of .96 000 patients awaiting kidney transplantation developed end-stage renal disease (ESRD) due to trauma. 23 By comparison, 23 866 potential recipients developed ESRD from type 2 diabetes mellitus, and 20 724 from hypertensive nephrosclerosis.…”

Section: Discussionmentioning

confidence: 99%

Sport-Related Kidney Injury Among High School Athletes

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT:Children with a single kidney are often counseled to avoid contact/collision sports based on the concern of injury to the kidney; however, the incidence of kidney injury during sport is not well understood.WHAT THIS STUDY ADDS: Based on this multiyear, prospective injury surveillance system of varsity-level high school athletes, sport-related kidney injury is rare. Reevaluation of American Academy of Pediatrics recommendations regarding sport participation by children with a single kidney is indicated. abstract BACKGROUND AND OBJECTIVE: The American Academy of Pediatrics recommends a "qualified yes" for participation by athletes with single kidneys in contact/collision sports. Despite this recommendation, most physicians continue to discourage participation in contact/collision sports for patients with single kidneys. A major concern is the lack of prospective data quantifying the incidence of sport-related kidney injury. The objective was to quantify the incidence of sport-related kidney injury among high school varsity athletes and compare it with sport-related injuries of other organ systems. METHODS:Data from the National Athletic Trainers' Association High School Injury Surveillance Study, an observational cohort study collected during the 1995-1997 academic years, were used. Incidence rates for sport-specific injuries to select organs were computed and compared.RESULTS: Over 4.4 million athlete-exposures, defined as 1 athlete participating in 1 game or practice, and 23 666 injuries were reported. Eighteen kidney injuries, none of which were catastrophic or required surgery, were reported compared with 3450 knee, 2069 head/neck/spine, 1219 mild traumatic brain, 148 eye, and 17 testicle injuries. Student athletes incurring kidney injuries were most often playing football (12 injuries) or girls' soccer (2 injuries). Sport-specific rates of kidney injury were significantly lower than sport-specific rates of mild traumatic brain, head/neck/spine, and knee injuries for all sports as well as rates of baseball-and basketball-specific eye injuries (P , .01).

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Section: Discussionmentioning

confidence: 99%

Sport-Related Kidney Injury Among High School Athletes

et al. 2012

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“…The reports have varied for the treatment of grade III and IV parenchymal injuries, but most favor a conservative approach, especially in the most recent series. Even some grade V parenchymal injuries have been managed nonoperatively [4,7].…”

Section: Introductionmentioning

confidence: 99%

Management of major blunt pediatric renal trauma: Single-center experience

Mohamed

Morsi

Ziada

et al. 2010

Journal of Pediatric Urology

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“…Finally, because deceleration trauma typically occurs in the young, it should be recalled that even badly injured renal tissue may have an incredibly high capacity for anatomical-functional healing. This explains why, once severe haemorrhage and haemodynamic instability have been ruled out, conservative treatment is successful in 80% of patients with high-grade injuries [46] and why, whatever the type of injury, intervention should always be deferred as long as possible to allow the acute stage of trauma and organ injury to subside. Finally, in highgrade renal injuries with a high level of parenchymal impairment, it is often difficult to distinguish on initial CT the portion of definitively damaged (infarcted) parenchyma from that with contusion-ischaemia that is destined to return to normal (Fig.…”

Section: Gestione Del Trauma Renalementioning

confidence: 99%

“…Infine, non bisogna dimenticare che essendo il trauma decelerativo tipicamente una malattia del giovane, un tessuto renale, anche gravemente danneggiato, può presentare una capacità di restitutio anatomofunzionale incredibilmente elevata. Questo spiega come, una volta esclusa la condizione di una grave emorragia in atto e di instabilità emodinamica, il trattamento conservativo abbia successo nell'80% dei pazienti con lesioni di alto grado [46] e che, qualunque sia la tipologia delle lesioni, l'intervento debba essere, per quanto possibile, sempre differito, in modo che la malattia trauma superi la fase acuta e con essa anche l'organo lesionato. Infine, nei traumi renali di grado elevato con grave compromissione parenchimale, risulta spesso difficile distinguere, alla prima valutazione TC, la quota parenchimale definitivamente danneggiata (infartuata) da quella contusivo-ischemica destinata a ritornare nella norma (Fig.…”

Section: Follow-upunclassified

Multidetector computed tomography in the diagnosis and management of renal trauma

et al. 2010

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Renal injuries fall within the broad and complex subject of retroperitoneal trauma. Although their computed tomography (CT) features have been known for a while, the timing, diagnostic approach and management are still debated. In addition, some areas of uncertainty remain regarding timing, indications and imaging modalities to be used in the follow-up of these patients. The purpose of this paper is to review the impact of CT on the management of renal trauma, stressing the importance of this technique and the role of the radiologist in the timing of decisions. Finally, we discuss the diagnostic approach to the followup of renal trauma.Keyword Renal injuries · CT · Management URO-GENITAL RADIOLOGY RADIOLOGIA URO-GENITALE Radiol med (2010) 115:936-949

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Management of high-grade renal injuries in children after blunt abdominal trauma: Experience of 40 cases

Cited by 27 publications

References 19 publications

Sport-Related Kidney Injury Among High School Athletes

Sport-Related Kidney Injury Among High School Athletes

Management of major blunt pediatric renal trauma: Single-center experience

Multidetector computed tomography in the diagnosis and management of renal trauma

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