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Introduction
The kidney the most commonly injured solid organ
pediatric blunt abdominal trauma Children are at
increased risk for renal injury
anatomical reasons = large relative size of the kidney
smaller amounts of perirenal fat
less ossified thoracic rib cage increased compression
Introduction
Identifying evolving mechanisms of injury and outcomes
ensure that at-risk children can be readily identified
at presentation and primary prevention
RESULT
Sport
Pedestrian vs
MVC
MVC
ATV
Bike
Ski-sled
other
Total (%)
47 (20.6)
26 (11.4)
14 (6.1)
29 (12.7)
43 (18,9)
39 (17,1)
15 (6.6)
15 (6,6)
Mean grade
(SD)
3.0 + 1.16
2.8 + 1.31
2.4 + 1.27
2.1 + 1.03
2.6 + 1.27
2.6 + 1.25
2.7 + 1.37
2.6 + 1.18
Mean ISS
15.0 + 7.3
10.8 + 5.2
30.3 + 15.2
22.4 + 17.0
19.4 + 11.6
15.2 + 9.6
15.4 + 10.4
13.8 + 9.7
3. management
Majority of renal trauma were managed non operatively
Operative intervention only occurred in less cases
Operative Intervention
Grade
I
Stent
0
Nephrostomy
0
Nephrectomy
0
Pyeloplasty
0
II
III
IV
Total
10
Conclusion
Most blunt pediatric renal injuries are low grade (I-III)
and are likely to be sustained by male patients over the
age of 6 years.
Based on data over a period of 20 years, nearly all
pediatric renal injuries can be managed nonoperatively.
Motorized recreational vehiclerelated trauma increased
in incidence over the study period despite
recommendations against the use of motorized
recreational vehicle in the pediatric population.
Improvements in parental counseling may help in
reducing trauma from ATV use.