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Blunt renal injuries in Turkish children: a review of 205 cases

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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.

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Acknowledgement

We wish to acknowledge Roderick I. Macpherson, Emeritus Professor of Pediatric Radiology, South Carolina, for his critical review of the manuscript.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Faculty of Medicine, University of Gaziantep, Kolejtepe, 27070, Gaziantep, Turkey

    Haluk Ceylan

  2. Department of Pediatric Surgery, Faculty of Medicine, University of Celal Bayar, Manisa, Turkey

    Cuneyt Gunsar, Aydin Sencan & Erol Mir

  3. Department of Pediatric Surgery, Faculty of Medicine, University of Adnan Menderes, Aydin, Turkey

    Barlas Etensel

  4. Department of Pediatric Surgery, Dr. Behçet Uz Children’s Hospital, Alsancak, Izmir, Turkey

    Irfan Karaca

Authors
  1. Haluk Ceylan
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  2. Cuneyt Gunsar
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  3. Barlas Etensel
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  4. Aydin Sencan
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  5. Irfan Karaca
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  6. Erol Mir
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Correspondence to Haluk Ceylan.

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Ceylan, H., Gunsar, C., Etensel, B. et al. Blunt renal injuries in Turkish children: a review of 205 cases. Ped Surgery Int 19, 710–714 (2003). https://doi.org/10.1007/s00383-003-1033-2

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  • DOI: https://doi.org/10.1007/s00383-003-1033-2

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