Renal Trauma in Childhood

Persky, Lester; Forsythe, W. E.

doi:10.1001/jama.1962.03050460001001

Cited by 43 publications

(9 citation statements)

References 9 publications

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“…The median recorded height for the injured players was 6 ft 2 in, median weight was 230.5 lb, and the median body mass index was 29.2. Almost all the injuries were contact related (49), most commonly getting tackled (16) or in a nontackle, nonblocking collision (16). Renal injury was more likely to occur in a game situation (32) compared with practice (20).…”

Section: Resultsmentioning

confidence: 99%

Kidney Injuries in Professional American Football

et al. 2007

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Section: Resultsmentioning

confidence: 99%

Kidney Injuries in Professional American Football

et al. 2007

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“…Previous studies have looked at the incidence and severity of paediatric blunt renal injury by age group. There is disagreement on whether renal injury following blunt injury is more likely in the 5 to 10 year age group (Reid, 1973;Ahmed and Morris, 1982), the over 10 age group (Persky and Forsythe, 1962;Kuzmarov et al, 1981 ;Cass, 1983) or neither (Emanuel et af., 1977). In only 1 study was an association found between severity of renal injury and age (over 10) (Linke et al, 1972).…”

Section: Discussionmentioning

confidence: 99%

“…Boys outnumber girls with regard to blunt renal trauma (Persky and Forsythe, 1962;Seruca et al, 1979). In the present study males outnumbered females by 4 to 1.…”

Section: Discussionmentioning

confidence: 99%

Blunt Renal Trauma in Childhood. Features Indicating Severe Injury

Quinlan

Gearhart

1990

British Journal of Urology

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The clinical presentation of children with blunt renal trauma may differ from that of adults. The clinical features at presentation of 50 consecutive children (20 severe injuries, no pedicle injuries) admitted over a period of almost 8 years were reviewed to determine if there were clinical clues to major renal trauma in childhood. Gross haematuria and low haematocrit were the most helpful factors at the time of presentation and correlated well with severe renal injury. Hypotension was seen in 4 patients and only 1 had severe renal trauma. Suspicion of a major renal injury should be high when there is gross haematuria or a low haematocrit. In this study only 1 of 20 patients with major renal injury demonstrated clinical signs of shock. Unlike adults, hypotension does not appear to be a reliable indicator of the severity of renal injury in children and diagnostic evaluation should not be reserved only for those in shock.

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“…Nach einer Zusammenstellung von Persky u. Forsythe [18] fanden sich unter den Nierenverletzungen 7 % Schuû-und 0,8 % Stichverletzungen. Sagalowsky errechnete für die Jahre 1980±1986 unter den operativ versorgten Nierentraumen einen Anteil von 62 % Schuû-und 23 % Stichverletzungen [22]!…”

Section: Schlüsselwörterunclassified

“…Diese Arbeit wurde von Carlton wie folgt kommentiert: ¹Bei Kindern diagnostiziere aggressiv und behandle konservativ, aber scheue Dich nicht zu operieren, wenn es offensichtlich notwendig ist!ª Bei Kindern führen auch stumpfe Traumen häufig zu ausgedehnten Ver-letzungen (Abb. Persky u. Forsythe [18] Stein et al [24] fanden unter 48 stumpfe Nierentraumen bei Kindern 25 mal höhergradige Traumen und empfahlen daher grundsätzlich eine CT-Diagnostik.…”

Section: Nierentraumen Bei Kindernunclassified

Diagnosis and treatment of renal traumas

Carl

1997

Der Urologe A

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A dynamic helical CT scan following initial ultrasound provides reliable radiological staging for kidney traumas and immediate diagnosis of most abdominal injuries. It also proves useful for pediatric traumas. Using mainly CT data we apply a classification system proposed by the American Association for Surgery of Trauma (grade I-V). The diagnostic steps and subsequent management are demonstrated by flow-chart. Most renal traumas may be treated conservatively but persistent bleeding or persistent urinary extravasation may necessitate surgical intervention. In cases of exploration of the kidney, the use of fibrin adhesive, alloplastic mesh capsule and DJ stents enables the reconstruction of the kidney. Exploration of the renal injury should never be omitted if urgent laparotomy is indicated for associated injuries.

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Renal Trauma in Childhood

Cited by 43 publications

References 9 publications

Kidney Injuries in Professional American Football

Kidney Injuries in Professional American Football

Blunt Renal Trauma in Childhood. Features Indicating Severe Injury

Diagnosis and treatment of renal traumas

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