Related Experiment Video
Updated: Aug 9, 2026

Early Detection of Drug-Induced Renal Hemodynamic Dysfunction Using Sonographic Technology in Rats
Published on: March 11, 2016
Etiology, diagnostics and therapeutic procedures in renal trauma in children: 1995-1997
D Dobanovacki1, S Petrović, S Marinković
1Institut za zdravstvenu zastitu dece i omladine, Medicinski fakultet, Novi Sad.
Insights
This study on pediatric renal trauma found pain and hematuria were key symptoms. Conservative management is recommended for young children with kidney injuries.
Area of Science:
- Pediatric Nephrology
- Pediatric Urology
- Trauma Surgery
Background:
- Renal trauma in children is a significant clinical concern.
- Accurate diagnosis and appropriate management are crucial for optimal outcomes.
- Understanding injury patterns and treatment efficacy informs clinical practice.
Purpose of the Study:
- To analyze diagnostic and therapeutic procedures for pediatric renal trauma.
- To evaluate the classification and outcomes of renal injuries in children.
- To determine the optimal management strategy for different severities of kidney injury in pediatric patients.
Main Methods:
- Retrospective analysis of 18 pediatric patients with renal trauma.
- Systematic ultrasound examination, supplemented by intravenous pyelography and CT scans when necessary.
- Classification of injuries based on the Guerrier et al. grading system.
Main Results:
- Pain and macroscopic hematuria were the most frequent presenting symptoms.
- Minor renal injuries (Grade I-III) accounted for 61.11% of cases, while major injuries (Grade IV-V) represented 38.89%.
- Surgical intervention was required in 4 patients, with 2 undergoing nephrectomy.
Conclusions:
- Conservative treatment is the preferred approach for minor renal trauma in young children.
- Early and accurate diagnosis using imaging modalities is essential.
- Management strategies should be tailored to injury severity to minimize morbidity.
Abstract:
A retrospective study analyses diagnostic and therapeutic procedures in children with renal trauma. The most prominent symptom among the history data was pain in the injured area and macroscopic hematuria in clinical examination. Ultrasound examination was made systematically and if necessary intravenous pyelography and CT scan of the kidneys. Clinical experience based on 18 patients with kidney injury shows that the injury classified according to Guerrier et all as minor renal injury was presented in 11 patients (61.11%), and major renal injury in 7 patients (38.89%). In 4 patients surgical procedure was indicated, and 2 nephrectomies were performed. Conservative treatment is preferable in the small children with renal trauma.
Related Concept Videos
Imaging Studies II: Ultrasonography
Imaging Studies VII: Vascular Imaging
Acute Kidney Injury I: Introduction
Acute Kidney Injury II: Pathophysiology
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Acute Kidney Injury V: Interprofessional Care

