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Updated: Dec 30, 2025
09:02
A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
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[TWO CASES OF PEDIATRIC DEEP RENAL INJURY AT A LOCAL HOSPITAL]
Akiou Okumura1, Akihiro Morii1, Masato Kiriyama2
1Department of Urology, Kurobe City Hospital.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|January 21, 2020
Summary
This study presents two pediatric deep renal injury cases managed at a local hospital. Effective treatment, even in limited facilities, is possible through interdisciplinary collaboration for pediatric kidney trauma.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Nephrology
Background:
- Deep renal injuries in children are uncommon but can result from blunt abdominal trauma.
- Management requires careful assessment and timely intervention to prevent complications.
Observation:
- Two pediatric cases of deep renal injury are detailed: a 13-year-old cyclist and a 10-year-old pedestrian.
- Both presented with back pain and diagnosed via computed tomography (CT), with one case showing a peripancreatic hematoma.
Findings:
- Case 1 required surgical resection of a transected kidney.
- Case 2, despite initial interventional radiology (IVR) assessment, was managed conservatively due to lack of arterial bleeding.
Implications:
- Pediatric renal trauma management can be challenging, especially in resource-limited settings.
- Cooperation between interventional radiologists and surgeons enables effective treatment of severe pediatric renal injuries locally.
- Ideal management involves hospitals with advanced capabilities like IVR and on-call specialists for pediatric trauma.
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