Imaging modalities and management of pediatric high-grade renal trauma in an Indonesian tertiary hospital: a report of two cases and literature review

Radiology Case Reports

article

Muhammad Achdiar Raizandha¹  Yudhistira Pradnyan Kloping¹  Fikri Rizaldi¹ 

[1] Department of Urology, Faculty of Medicine, Universitas Airlangga

关键词: Pediatric renal trauma;    Pediatric renal injury;    Imaging modality;    Non-operative management;    Nephrectomy;   

DOI  :  10.1016/j.radcr.2022.02.030

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

As one of the most commonly injured organs in the genitourinary system during trauma, a thorough understanding of pediatric renal trauma's diagnosis and management is essential for physicians. The improvement of imaging modalities in recent years has shifted most treatments to a conservative approach. Non-operative management could reduce the risk of nephrectomy while increasing renal salvage rate. However, high-grade pediatric renal injury management remains controversial. We aimed to report two children with high-grade renal trauma, diagnosed using computed tomography and retrograde pyelography studies, undergoing different approaches. The first patient underwent a nephrectomy, whereas the second patient underwent non-operative management.

【 授权许可】

CC BY|CC BY-NC-ND