Related Experiment Videos
[Kidney injuries in children. Apropos of 65 cases]
M Krid1, A Bahloul, N el Haddad
1Service d'Urologie, E.P.S. Sahloul, Sousse, Tunisie.
Insights
This study analyzed 65 pediatric renal contusions, primarily from household and road accidents. Most cases were successfully treated with either medical or surgical interventions, with minimal complications.
Area of Science:
- Pediatric Nephrology
- Trauma Surgery
- Urology
Background:
- Renal contusion in children is a significant concern.
- Understanding the etiology and outcomes of pediatric renal trauma is crucial for effective management.
Purpose of the Study:
- To retrospectively analyze a series of pediatric renal contusions.
- To identify causes, injury severity, treatment modalities, and outcomes.
Main Methods:
- Retrospective review of 65 pediatric renal contusion cases.
- Data collected on patient demographics, trauma mechanisms, injury severity, and treatment approaches.
Main Results:
- The study included 65 children (45 boys, 20 girls) aged 10 months to 15 years.
- Household and road accidents were the leading causes of renal trauma.
- 55.4% of contusions were benign, 27.7% moderate, and 16.9% severe.
- 31 patients received conservative medical treatment, while 34 underwent surgery.
- Surgical patients experienced few complications, including urinary fistulas and infections, all resolved.
Conclusions:
- Pediatric renal contusions are often caused by common accidents.
- A combination of medical and surgical treatments is effective.
- Management strategies should consider injury severity and patient factors for optimal outcomes.
Abstract:
The authors report a retrospective series of 65 cases of renal contusion in children affecting 45 boys and 20 girls between the ages of 10 months and 15 years (mean age: 10 years). The causes of renal trauma were dominated by household accidents (53.8%) and road accidents (33.8%). Associated extrarenal lesions were observed in 21.5% of cases. 55.4% of the 65 contusions were considered to be benign, 27.7% of moderate severity and 16.9% were serious. The blunt trauma affected a pathological kidney in 19 cases. Exclusively medical treatment was recommended in 31 patients, while surgery was indicated in the other 34 patients. Apart from one death in a context of multiple trauma, few complications were observed in the group of operated patients and consisted of 4 cases of urinary fistula and 4 cases of infection, all of which resolved.