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International Urology and Nephrology
Published in: International Urology and Nephrology 3/2010

01-09-2010 | Urology - Case Report

Successful timely minimally invasive management of grade 4 renal injury in children: a report of two cases

Authors: R. Manikandan, L. N. Dorairajan, Santosh Kumar

Published in: International Urology and Nephrology | Issue 3/2010

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Abstract

Expectant management of renal injuries has become the standard of care but most of such experience has been with adult patients. Although some recent reports suggest equally comparable results in pediatric populations too, there is a paucity of data. We report our experience with two children who sustained grade 4 renal injury due to blunt trauma, which was managed successfully by endourological intervention facilitating preservation of renal units and review the current literature.
Literature
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Peclet MH, Newman KD, Eichelberger MR (1990) Patterns of injury in children. J Pediatric Surg 25:85–95CrossRef
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Brown SL, Elder JS, Spirnak JP (1998) Are pediatric patients more susceptible to major renal injury from blunt trauma? A comparative study. J Urol 160:138–140CrossRefPubMed
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Nash A, Bruce JE, McAninch JW (1995) Nephrectomy for traumatic renal injuries. J Urol 153(3, pt 1):609–611CrossRefPubMed
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Smith EM, Elder JS, Spirnak JP (1993) Major blunt renal trauma in the pediatric population: is a nonoperative approach indicated? J Urol 149:546–548PubMed
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Rogers CG, Knight V, MacUra KJ et al (2004) High- grade renal injuries in children-is conservative management possible? Urology 64:574–579CrossRefPubMed
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El-Sherbiny MT, Aboul-Ghar ME, Hafez AT et al (2004) Late renal functional and morphological evaluation after non-operative treatment of high-grade renal injuries in children. BJU Int 93(7):1053CrossRefPubMed
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Margenthaler JA, Weber TR, Keller MS (2002) Blunt renal trauma in children: experience with conservative management at a pediatric trauma center. J Trauma 52(5):928–932CrossRefPubMed
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Russel RS, Gomelsky A, McMohan DR et al (2001) Management of grade IV renal injuries in children. J Urol 166(3):1049–1050CrossRef
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Nance ML, Lutz N, Carr MC et al (2004) Blunt renal injuries in children can be managed nonoperatively: outcome in a consecutive series of patients. J Trauma 57:474–478CrossRefPubMed
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Gill B, Palmer LS, Reda E et al (1994) Optimal renal preservation with timely percutaneous intervention: a changing concept in the management of blunt renal trauma in children in the 1990s. Br J Urol 74:370–374CrossRefPubMed
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Metadata
Title
Successful timely minimally invasive management of grade 4 renal injury in children: a report of two cases
Authors
R. Manikandan
L. N. Dorairajan
Santosh Kumar
Publication date
01-09-2010
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 3/2010
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-009-9679-x

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