TY  - JOUR
PY  - 2019//
TI  - High grade renal trauma due to blunt injury in children: do all require intervention?
JO  - Journal Brasileiro de Nefrologia
A1  - Govindarajan, Krishna Kumar
A1  - Utagi, Mallikarjun
A1  - Naredi, Bikash Kumar
A1  - Jindal, Bibekanand
A1  - Sambandan, Kumaravel
A1  - Subramaniam, Deepakbharathi
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: The aim of this study was to analyze the presentation and management of major grade renal trauma in children. <br><br>METHOD: A retrospective study was performed including data collected from the patients who were admitted in Pediatric surgery with major grade renal injury (grade 3 and more) from January 2015 to August 2018. Demography, clinical parameters, management, duration of hospital stay and final outcome were noted. <br><br>RESULTS: Out of 13 children (9 males and 4 females), with age range 2-12 years (mean of 8 years), reported self-fall was the commonest mode of injury followed by road traffic accident. The majority (10/13, 75%) had a right renal injury. Eight children had a grade IV injury, one had a grade V injury, and four children had grade III injury. Duration of hospital stay varied from 3 to 28 (mean of 11.7) days. Three children required blood transfusion. One child required image guided aspiration twice and two required pigtail insertion for perinephric collection. All the 13 children improved without readmission or need for any other surgical intervention. <br><br>CONCLUSION: Children with major grade renal trauma due to blunt injury can be successfully managed without surgical intervention and minimal intervention may only be needed in select situations.<p />  <p>Language: pt</p>
LA  - pt
SN  - 2175-8239
UR  - http://dx.doi.org/10.1590/2175-8239-JBN-2018-0186
ID  - ref1
ER  -