Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar 9;17(5):1563-1567.
doi: 10.1016/j.radcr.2022.02.030. eCollection 2022 May.

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

Muhammad Achdiar Raizandha  1   2 , Yudhistira Pradnyan Kloping  1   2 , Fikri Rizaldi  1   3
Affiliations
Case Reports

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

Muhammad Achdiar Raizandha et al. Radiol Case Rep. .

Abstract

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.

Keywords: Imaging modality; Nephrectomy; Non-operative management; Pediatric renal injury; Pediatric renal trauma.

PubMed Disclaimer

Figures

Fig 1 –
Fig. 1
(A, B) Axial view of the contrast-enhanced abdominal CT indicating a grade 5 right renal trauma with active perirenal hemorrhage.
Fig 2 –
Fig. 2
Sagittal view of the contrast-enhanced abdominal CT indicating a mid-posterior rupture and urinoma.
Fig 3 –
Fig. 3
Resected renal tissue post-subcapsular nephrectomy.
Fig 4 –
Fig. 4
Sagittal view of the contrast-enhanced abdominal CT indicating a grade 5 renal trauma and urinoma.
Fig 5 –
Fig. 5
(A, B) Right RPG showing contrast filling the kidney and extravasation. RPG, retrograde pyelography.
See this image and copyright information in PMC

References

    1. Zabkowski T, Skiba R, Saracyn M, Zielinski H. Analysis of renal trauma in adult patients: a 6-year own experiences of trauma center. Urol J. 2015;12:2276–2279. - PubMed
    1. McPhee M, Arumainayagam N, Clark M, Burfitt N, DasGupta R. Renal injury management in an urban trauma centre and implications for urological training. Ann R Coll Surg Engl. 2015;97:194–197. - PMC - PubMed
    1. McCombie SP, Thyer I, Corcoran NM, Rowling C, Dyer J, Le Roux A, et al. The conservative management of renal trauma: a literature review and practical clinical guideline from Australia and New Zealand. BJU Int. 2014;114:13–21. - PubMed
    1. Fernández-Ibieta M. Renal trauma in pediatrics: a current review. Urology. 2018;113:171–178. - PubMed
    1. Colaco M, Navarrete RA, MacDonald SM, Stitzel JD, Terlecki RP. Nationwide procedural trends for renal trauma management. Ann Surg. 2019;269:367–369. - PubMed

Publication types