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Updated: May 1, 2026
A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
[Blunt renal trauma in children: a retrospective analysis of 41 cases]
Mehmet Emin Balcıoğlu1, Mehmet Emin Boleken1, Muazez Çevik1
1Department of Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa, Turkey.
Insights
Conservative management is safe and effective for pediatric blunt abdominal trauma causing renal injury. Surgery is reserved for severe cases with life-threatening bleeding, regardless of injury grade.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Urology
Background:
- Blunt abdominal trauma frequently causes renal injuries in children.
- Most pediatric renal injuries can be managed non-operatively.
- Evaluating clinical features and outcomes is crucial for optimizing treatment.
Purpose of the Study:
- To evaluate the clinical features and outcomes of pediatric patients with renal injury from blunt abdominal trauma.
- To assess the efficacy of conservative management versus surgical intervention.
Main Methods:
- Retrospective analysis of pediatric patients hospitalized for renal injury due to blunt abdominal trauma (2000-2012).
- Evaluation of patient demographics, clinical presentation, management strategies, and outcomes.
- Data collected from the Department of Pediatric Surgery.
Main Results:
- Forty-one children were hospitalized, with a mean age of 10 years.
- Most injuries were low-grade (1 and 2), primarily caused by falls.
- Conservative treatment was successful for most patients; 3 required surgery for life-threatening bleeding (grade 4-5) or pedicle injury.
Conclusions:
- Conservative management is a safe and effective strategy for pediatric renal parenchymal injuries.
- Surgical intervention is necessary for life-threatening renal bleeding, irrespective of injury grade.
- Most pediatric renal trauma cases do not necessitate surgical intervention.
Background:
The majority of renal injury secondary to blunt abdominal trauma can be successfully treated conservatively. In the present study, the clinical features and outcomes of children who presented with renal injury secondary to blunt abdominal trauma were evaluated.
Methods:
This study was carried out retrospectively using data from children at the Department of Pediatric Surgery who were hospitalized for renal injury due to blunt abdominal trauma between 2000 and 2012. Patient characteristics, clinical presentation, management strategy, and outcome were evaluated.
Results:
Forty-one patients were hospitalized. The mean age of the patients was 10±4.85 years. The majority of renal injuries were grade 1 and 2. Falling was the cause of most renal injuries. All patients were initially treated conservatively. Three patients underwent acute surgical exploration for life-threatening renal bleeding (grade 4-5 injury). Nephrectomy was performed in 3 patients due to injury to the pedicle.
Conclusion:
The conservative treatment of pediatric renal parenchymal injuries is safe and effective in children. Although the vast majority of renal injuries do not require surgical intervention, life-threatening renal bleeding, regardless of the grade of injury, should be treated surgically.
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