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Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition
Published on: September 22, 2023
Imaging evaluation of traumatic hematuria in children
Insights
Traumatic hematuria in children stems from accidents, iatrogenic damage, or abuse. Imaging like CT, ultrasound, and radiography are crucial for diagnosis.
Area of Science:
- Pediatric Traumatology
- Diagnostic Imaging
- Urology
Background:
- Traumatic hematuria in children presents diagnostic challenges.
- Key causes include accidental trauma, iatrogenic damage, and child abuse.
- Appropriate imaging selection is vital for timely diagnosis and management.
Purpose of the Study:
- To review the diagnostic roles of various imaging modalities in pediatric traumatic hematuria.
- To highlight the importance of selecting the correct imaging technique based on the cause of injury.
- To provide a guide for clinicians managing children with hematuria due to trauma.
Main Methods:
- Review of current literature on traumatic hematuria in children.
- Analysis of the utility of computerized tomography (CT), ultrasound, and radiography.
- Discussion of imaging findings related to different etiologies of traumatic hematuria.
Main Results:
- Computerized tomography (CT) is essential for evaluating accidental trauma.
- Ultrasound and routine radiography are key for diagnosing iatrogenic hematuria and abuse-related injuries.
- Imaging modalities effectively identify the source and extent of urinary tract trauma.
Conclusions:
- The choice of imaging modality for traumatic hematuria in children depends on the suspected cause.
- Accurate diagnosis through appropriate imaging facilitates effective treatment and improves outcomes.
- Multimodality imaging approaches are crucial in pediatric traumatic hematuria management.
Abstract:
The 3 major causes of traumatic hematuria in children are accidents, iatrogenic damage, and child abuse. While computerized tomography plays a major role in the evaluation of accidental trauma, ultrasound and routine radiography are important in the work-up of iatrogenic hematuria and injuries caused by child abuse. This paper reviews the role of these imaging modalities in diagnosing traumatic hematuria in children.
Related Concept Videos
Imaging Studies I: Kidney, Ureter, and Bladder Studies
Imaging Studies II: Ultrasonography
Imaging Studies III: Computed Tomography
Imaging Studies IV: Magnetic Resonance Imaging
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
Imaging Studies VII: Vascular Imaging

