The role of interventional radiology for pediatric blunt renal trauma

Lin, Wen Han; Lin, Chien Heng

doi:10.1186/s13052-015-0181-z

Cited by 23 publications

(18 citation statements)

References 27 publications

(39 reference statements)

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“…Nearly three-quarters of patients with renal trauma are young and male ( 6 ). As the most common type of injury, blunt trauma remains a significant cause of morbidity and mortality in the population, accounting for 80-95% of renal trauma in Western countries caused by motor vehicle accidents, pedestrian accidents and falls ( 6 - 9 ), which is consistent with the findings of a study in China ( 10 ), although penetrating injuries are becoming more frequent due to an increase in violence, gunshot wounds and stabbing wounds. Given the well-protected anatomic location of the kidney, only major external forces lead to significant kidney injury.…”

Section: Introductionsupporting

confidence: 87%

Profile of renal artery embolization (RAE) for renal trauma: A comparison of data from two major trauma center

Chen

Cai

2020

Int. braz j urol.

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Objective: To evaluate usage of renal artery embolization (RAE) for renal injuries and discuss the indications for this treatment. Materials and Methods: A retrospective study was performed evaluating the electronic medical records of all patients with renal trauma admitted to two major comprehensive hospitals in Shantou city from January 2006 to December 2015. Results: There were 264 and 304 renal traumatic patients admitted to hospital A and B, respectively. LGRT was the reason for presentation in the majority of patients (522, 91.9%). A total of 534 (94.0%) patients were treated conservatively. RAE was performed in 9 patients from 2012 to 2015 at hospital A, including in 6 patients (6/9, 66.7%) with LGRT, and 3 patients (3/9, 33.3%) with HGRT. No patient underwent interventional therapy (RAE) at hospital B during the same period. No signifi cant differences in the operative rate of hospital A were observed between the two time periods (2006-2011 and 2012-2015). The operative rate for LGRT between the two hospitals from 2006 to 2011 and 2012 to 2015 was not signifi cantly different. Hospital A showed a signifi cant decrease in the rate of conservative treatment for patients with LGRT. In the univariate and multivariate analyses, the AAST renal grade both were signifi cantly associated with undergoing RAE. Conclusions: LGRT was present in the majority of patients, and most cases of renal trauma could be treated with conservative treatment. RAE was well utilized for the treatment of renal trauma. However, some patients with LGRT were treated with unnecessary interventional therapy.

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Section: Introductionsupporting

confidence: 87%

Profile of renal artery embolization (RAE) for renal trauma: A comparison of data from two major trauma center

Chen

Cai

2020

Int. braz j urol.

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“…Many gynecological disorders that cause acute abdominal pain (e.g., uterine disorders, ovarian disorders, pelvic inflammatory disease) demonstrate characteristic CT findings [ 17 ]. MDCT can provide useful information about abdominal fluid density differences in the pelvic cavity, and the presence of extravasated contrast material as an indicator of active bleeding [ 18 , 19 ]. In one patient in the present study, sonography revealed a large amount of intrabdominal fluid and a hyperechogenic ovarian cyst, and a contrast-enhanced MDCT showed active extravasation from the ovarian cyst.…”

Section: Discussionmentioning

confidence: 99%

Multidetector computed tomography in the evaluation of pediatric acute abdominal pain in the emergency department

Lin

2016

BioMed

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The accurate diagnosis of pediatric acute abdominal pain is one of the most challenging tasks in the emergency department (ED) due to its unclear clinical presentation and non-specific findings in physical examinations, laboratory data, and plain radiographs. The objective of this study was to evaluate the impact of abdominal multidetector computed tomography (MDCT) performed in the ED on pediatric patients presenting with acute abdominal pain. A retrospective chart review of children aged <18 years with acute abdominal pain who visited the emergency department and underwent MDCT between September 2004 and June 2007 was conducted. Patients with a history of trauma were excluded. A total of 156 patients with acute abdominal pain (85 males and 71 females, age 1-17 years; mean age 10.9 ± 4.6 years) who underwent abdominal MDCT in the pediatric ED during this 3-year period were enrolled in the study. One hundred and eighteen patients with suspected appendicitis underwent abdominal MDCT. Sixty four (54.2%) of them had appendicitis, which was proven by histopathology. The sensitivity of abdominal MDCT for appendicitis was found to be 98.5% and the specificity was 84.9%. In this study, the other two common causes of nontraumatic abdominal emergencies were gastrointestinal tract (GI) infections and ovarian cysts. The most common etiology of abdominal pain in children that requires imaging with abdominal MDCT is appendicitis. MDCT has become a preferred and invaluable imaging modality in evaluating uncertain cases of pediatric acute abdominal pain in ED, in particular for suspected appendicitis, neoplasms, and gastrointestinal abnormalities.

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“…However, strategies such as optimized scanning protocols according to age- or weight-based adjustments for children, decreasing the unnecessary examination and scanning phase, and user education for pediatricians and radiological technologies can decrease the risk from radiation exposure. [ 13 ] Although bronchoscopy is more invasive than CT scan, it is commonly used to obtain tissue for histopathologic diagnosis and is useful to assess the resectability of the tumor.…”

Section: Discussionmentioning

confidence: 99%

Primary mucoepidermoid carcinoma at the carina of trachea presenting with wheezing in an asthmatic child mimicking an attack of asthma

Lin¹,

Chao

Wu³

et al. 2016

Medicine

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Background:Asthma is a very common disease, but primary tracheal tumors are extremely rare in children. Wheezing is not pathognomonic, but is the typical presentation of asthma and could also be found in patients with tracheal tumors.Clinical Findings:This report describes a 12-year-old boy with a previous history of frequent asthma attacks and experienced responses to antiasthma treatment. He was admitted to the hospital due to persistent wheezing and progressive dyspnea. Hyperinflation in the bilateral lungs was detected on chest x-ray, but without other significant findings. Chest computed tomography revealed a mass at the carina. Tracheal mucoepidermoid carcinoma was diagnosed by histopathological assessment.Conclusion:Despite the rarity of tracheal tumors, chest computed tomography scans should be performed in the first place for children presenting persistent wheezing and having poor response to antiasthma treatment to rule out the other alternative diagnosis. Coexistence of other diseases such as tracheal tumor in asthmatic patients should be considered.

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The role of interventional radiology for pediatric blunt renal trauma

Cited by 23 publications

References 27 publications

Profile of renal artery embolization (RAE) for renal trauma: A comparison of data from two major trauma center

Profile of renal artery embolization (RAE) for renal trauma: A comparison of data from two major trauma center

Multidetector computed tomography in the evaluation of pediatric acute abdominal pain in the emergency department

Primary mucoepidermoid carcinoma at the carina of trachea presenting with wheezing in an asthmatic child mimicking an attack of asthma

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