SARAÇ, Mehmet Fırat Üniversitesi - Tıp Fakültesi Hastanesi - Çocuk Cerrahisi Kliniği, Türkiye , BAKAL, Ünal Fırat Üniversitesi - Tıp Fakültesi - Çocuk Cerrahisi Anabilim Dalı, Türkiye , TARTAR, Tugay Fırat Üniversitesi - Tıp Fakültesi - Çocuk Cerrahisi Anabilim Dalı, Türkiye , KAZEZ, Ahmet Fırat Üniversitesi - Tıp Fakültesi - Çocuk Cerrahisi Anabilim Dalı, Türkiye

Renal Trauma in Children

17600

Objective: In this study, we aimed to present our renal trauma experience in children. Material and Method: Twenty-five children treated because of renal trauma, between January 2003 and December 2012, were evaluated retrospectively. Results: Fifteen patients were male (60 %), 10 were female (40 %) and the average age was 9.1 (3 years – 15 years). All of them were blunt traumas and 11 cases (44 %) were falling down from height, 8 cases (32 %) were pedestrian traffic accidents, 3 cases (12%) were vehicle accidents, 2 cases (8 %) were horse kicks and 1 case (4 %) was falling off a horse. Macroscopic hematuria in 17 cases (68 %) and microscopic hematuria in 2 cases (8 %) were observed and in 6 cases (24 %) there were no hematuria. While US was descriptive for only 6 cases, BT described the trauma in all of them. The trauma was located on the right kidney in 15 cases (60 %) and on the left kidney in 10 cases (40 %). 6 cases (24 %) had G1, 4 cases (16%) had G2, 4 cases (16 %) had G3, 7 cases (28 %) had G4 and 4 cases (16 %) had G5 trauma. Since hemodynamic stability could not be maintained by six patients, surgery was applied and all resulted in nephrectomy. A patient with G4 trauma was applied JJ catheter and percutaneous nephrostomy was applied to a patient. The average hospitalization period was 9.3 (3 days – 23 days) days and mortality did not occur. The patients were taken into nephrology control annually. Conclusions: Hematuria is an important finding of renal traumas and it must be evaluated by advanced examinations. Any hemodynamically stable patients should not have an operation. Surgical intervention increases the possibility of nephrectomy. In patients developing urinoma, urinoma needs to be drained by percutaneous nephrostomy or JJ catheter.

148

Children , Renal Trauma , Conservative treatment

Fırat Medical Journal

151