Introduction And Importance: Trauma results in more deaths in childhood than all other causes combined, one of which is high kidney trauma. This case report presents minimally invasive management of high-grade kidney trauma in pediatrics.
Case Presentation: A 5-year-old boy was referred on day 10 for blunt abdominal trauma. The complaint was intermittent high fever and right back pain after falling from the bike. There are no open wounds. A 9 × 7 cm cystic mass is palpable in the upper right abdominal quadrant. The results of the Abdominal Computed Tomography (CT) scan revealed AAST Grade V kidney trauma with a gap of 3.9 cm, free perirenal fluid on the right side inside the Gerota fascia, and a fluid size of 9.7 × 6.7 × 7.4 cm, with a volume of 256 ccs (HU 8 to 12). Retrograde pyelography (RPG) was performed on the right kidney, contrast extravasation was found, a Double J (DJ) stent was inserted, and percutaneous urinal drainage was performed under ultrasound guidance.
Clinical Discussion: A CT scan can be used as a detection tool for cases of neglected high-grade kidney trauma. Minimal invasive management can be performed when the patient is in stable condition. Haematuria, fever, and urinoma can be found as a complication.
Conclusion: In cases of blunt abdominal trauma in children, there should be suspicion of kidney trauma until the diagnosis is established. If there is a urinoma, installing a DJ Stent and percutaneous drainage is an option.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889598 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2025.111067 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cystatin C is associated with osteoporosis and fractures: An observational study based on Mendelian randomization analysis.
Zhong Nan Da Xue Xue Bao Yi Xue Ban
October 2024
Research for Genetic Epidemiology and Genomics, School of Public Health, Suzhou Medical College of Soochow University, Suzhou Jiangsu 215123, China.
Objectives: Osteoporosis is characterized by decreased bone mass and damaged bone microstructure, often leading to fragility fractures. Low bone mineral density is a key risk factor for fractures. Serum cystatin C (CysC), an endogenous marker of glomerular filtration rate, is negatively correlated with bone mineral density and may be a potential risk factor for osteoporosis.
View Article and Find Full Text PDFPotentially low-value operative care in abdominal trauma: A retrospective National Trauma Data Bank study.
Surgery
March 2025
Department of Social and Preventative Medicine, Université Laval, Québec, Québec, Canada; Population Health and Optimal Health Practices Research Unit, Trauma - Emergency - Critical Care Medicine, Centre de Recherche du CHU de Québec (Hôpital de l'Enfant-Jésus), Université Laval, Québec, Québec, Canada. Electronic address:
Background: We currently lack national data on adherence to American College of Surgeons recommendations on nonoperative management for hemodynamically stable adults with solid-organ injuries. We aimed to estimate the incidence and interhospital variation in potentially low-value operative management for adults with blunt solid abdominal organ injuries.
Methods: We included adults with blunt solid-organ injury eligible for nonoperative management (grades I-IV spleen and liver and grade I-III kidney, hemodynamically stable on arrival, and no blood products used in the emergency department) who were admitted to trauma centers in the United States that submitted data to the National Trauma Data Bank between 2016 and 2019.
Finerenone Alleviates Over-Activation of Complement C5a-C5aR1 Axis of Macrophages by Regulating G Protein Subunit Alpha i2 to Improve Diabetic Nephropathy.
Cells
February 2025
Renal Division, Department of Medicine, Peking University First Hospital, Beijing 100034, China.
Diabetic nephropathy (DN), one of the most common complications of diabetes mellitus (DM), accounts for a major cause of chronic kidney disease (CKD) worldwide, with a complicated pathogenesis and limited effective strategies nowadays. The mineralocorticoid receptor (MR) is a classical ligand-activated nuclear transcription factor. It is expressed in the renal intrinsic and immune cells, especially macrophages.
View Article and Find Full Text PDFRisk Factors Associated With Worse Outcomes in Trauma Patients Aged 55 and Older.
HCA Healthc J Med
February 2025
HCA Florida Kendall Hospital, Miami, Florida.
Background: Prior studies have shown an increase in mortality in trauma patients after 55 years of age. However, it is less certain which pre-existing comorbidities (PECs) are associated with poorer outcomes. The purpose of this study was to identify the risk factors associated with poor outcomes and death in patients 55 years old and older admitted for trauma.
View Article and Find Full Text PDFAdrenal gland laceration in adult trauma patients without severe concomitant abdominal organ injuries: Incidence, associated factors, and outcomes from a national trauma database study.
Medicine (Baltimore)
March 2025
Department of Surgery, College of Medicine, Majmaah University, Ministry of Education, AL-Majmaah City, Riyadh, Saudi Arabia.
Adrenal gland lacerations are sporadic but hostile injuries. The purpose of this investigation was to ascertain the prevalence, contributing variables, and outcomes of adrenal gland laceration in adult trauma victims. A retrospective cohort study analyzed data from 649,696 adult patients in the National Trauma Data Bank to compare patient characteristics, injury severity, and outcomes between patients with and without adrenal gland injuries.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!