Blunt renal trauma in children: Healing of renal injuries and recommendations for imaging follow-up
| Autor: | Dorothy I. Bulas, H. Abdalati, Martin R. Eichelberger, Massoud Majd, C. J. Sivit, H. G. Rushton |
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| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Renal function Kidney Wounds Nonpenetrating Scintigraphy Sepsis Blunt medicine Humans Radiology Nuclear Medicine and imaging Child Radionuclide Imaging Hydronephrosis Neuroradiology Wound Healing medicine.diagnostic_test business.industry Infant medicine.disease Urinoma Surgery medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Female Radiology Tomography X-Ray Computed business Follow-Up Studies |
| Zdroj: | Pediatric Radiology. 24:573-576 |
| ISSN: | 1432-1998 0301-0449 |
| Popis: | Initial CT grading of renal injury was correlated with the frequency of complications and the time course of healing in 35 children. All renal contusions (grade 1, 8) and small parenchymal lacerations (grade 2, 8) healed without complications. All lacerations extending to the collecting system (grade 3, 9) resulted in mild to severe loss of renal function with progressive healing over 4 months. One of four segmental infarcts (grade 4A), and five of six vascular pedicle injuries (grade 4B) resulted in severe loss of renal function. Complications, including urinoma (2), sepsis (1), hydronephrosis (1), and persistent hypertension (2), were limited to grade 3 and 4 injuries. Our results suggest that mild renal injuries do not require follow-up imaging. Major renal lacerations and vascular pedicle injuries, however, often result in loss of renal function and should be followed up closely due to the risk of delayed complications. Follow-up examinations should continue for 3-4 months until healing is documented. |
| Databáze: | OpenAIRE |
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