Téma: 

Renal injuries in childhood – actual management

Juraj Svitač

Injuries of the urogenital system (UGS) in children represent a serious health care problem all over the world. Trauma to the UGS is second only to trauma of the central nervous system in childhood injuries. Motor vehicle is the leading cause. About the half of all injuries to the UGS are renal. Trauma to the kidney may be blunt, penetrating or the origin is in deceleleration. Renal injuries in children are seldom isolated and multiorgan injury is often present. The history of the events surrounding the injury is helpful in understanding the mechanism and staging of kidney damage. The physical examination can produce information about the organs injuried. The urine should be examined for blood and hematocrit must be obtained to document potential blood loss. Radiographic evaluation of the UGS is the cornerstone of subsequent management, which is conservative or surgical. Ultrasonography can detect urinomas and hematomas, but evaluation of renal parenchyma is poor. Imaging of the injured kidneys today is performed with spiral CT. Delayed scan after administration of contrast agent is requested for detection of ureteric avulsion. The actual management of renal injuries in childhood is present in this paper.

Ročník 2005  Témy časopisu Clinical urology 1 / 2005

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