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KMID : 1218220090010010037
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Korean Journal of Pediatric Urology
2009 Volume.1 No. 1 p.37 ~ p.40
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Outcome of Renal Injury in Children: Single Center Experience
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Choi Jae-Young
Lee Jun-Nyung
Kwon Joon-Beom
Chung Sung-Kwang
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Abstract
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Purpose: We report the outcome of renal injury in children.
Patients and Methods: Between May 1997 and May 2008, a total of 24 children who had renal injury were included in this study. Mean age was 10.4 (2-16) years and there were 17 boys and 7 girls. Mean follow-up period was 3.6 (1-30) months. The injury grade, clinical progression, management and prognosis were reviewed retrospectively. The injury grade was classified into two groups; low grade (Gr I-III) and high grade (Gr IV-V) by American association for the surgery of trauma organ injury severity scale for the kidney (1989).
Results: There were 13 children in low grade injury group and 11 in high grade injury group. Of 3 children with unstable hemodynamics, we performed nephrectomy in 2 and pyeloplasty in 1. The others, 21 of hemodynamically stable children were treated conservatively, and all of them preserved their kidneys without any operation. One of them underwent intervention due to delayed bleeding. In high grade injury group, intestinal obstruction was developed in a child after operation, while 2 urinoma and 1 perirenal abscess were developed during the conservative management. But they were all cured without sequelae.
Conclusions: In children who had kidney injury, if hemodynamically stable, conservative treatment is considerable for the first choice of management, even though in high grade injury. But in case of high grade injury, careful managemenet and follow-up study is needed to prevent complication.
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KEYWORD
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Children, Nephrectomy, Renal injury
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