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[Ultrasound for initial evaluation of post-traumatic renal lesions in children]

P Pietrera1, Y Badachi, A Liard

  • 1Services de Radiologie, Chu de Rouen, rue de Germont, F-76031 ROUEN, France.

Journal De Radiologie
|August 17, 2001
PubMed

Insights

Color Doppler Ultrasound (CDUS) can effectively rule out major pediatric renal trauma when normal. However, its accuracy is reduced by urinomas, and imaging strategy should not depend on hematuria type.

Area of Science:

  • Pediatric Radiology
  • Medical Imaging
  • Trauma Surgery

Background:

  • Pediatric renal trauma evaluation requires accurate imaging.
  • Color Doppler Ultrasound (CDUS) and enhanced Computed Tomography (CT) are used.
  • Determining optimal first-line imaging is crucial.

Purpose of the Study:

  • Compare CDUS findings and limitations to enhanced CT in pediatric renal trauma.
  • Identify indications for initial imaging workup in pediatric renal trauma.

Main Methods:

  • Retrospective review of 17 pediatric patients (3-18 years) with renal trauma.
  • All patients had hematuria.
  • 16 patients underwent both CDUS and enhanced CT (gold standard).

Main Results:

  • No correlation found between hematuria severity and lesion grade.
  • CDUS missed fractures in 4 cases.
  • CDUS misdiagnosed pedicular lesions in 3 cases with uro-hematoma.

Conclusions:

  • Imaging strategy should not be based on hematuria type.
  • Urinomas negatively impact CDUS sensitivity.
  • A normal CDUS may suffice to exclude major renal injury if performed under ideal conditions.
Abstract

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