Management of Pediatric Grade IV Renal Trauma

Gregory P. Murphy; Thomas W. Gaither; Mohannad A. Awad; E. Charles Osterberg; Nima Baradaran; Hillary L. Copp; Benjamin N. Breyer

doi:10.1007/s11934-017-0665-z

Management of Pediatric Grade IV Renal Trauma

Gregory P. Murphy, Thomas W. Gaither, Mohannad A. Awad, E. Charles Osterberg, Nima Baradaran, Hillary L. Copp, Benjamin N. Breyer

Division of Urologic Surgery

Research output: Contribution to journal › Review article › peer-review

20 Scopus citations

Abstract

Purpose of Review: Review the current literature regarding the management of grade IV renal injuries in children. Recent Findings: Children are at increased risk for renal trauma compared to adults due to differences in anatomy. Newer grading systems have been proposed and are reviewed. Observation of most grade IV renal injuries is safe. Operative intervention is necessary for the unstable patient to control life-threatening bleeding with either angioembolization or open exploration. Symptomatic urinomas may require percutaneous drainage and/or endoscopic stent placement. Ureteropelvic junction (UPJ) disruption, seen more often in children, requires immediate surgical repair. Summary: Grade IV renal injuries in children are increasingly managed in a conservative manner.

Original language	English
Article number	23
Journal	Current urology reports
Volume	18
Issue number	3
DOIs	https://doi.org/10.1007/s11934-017-0665-z
State	Published - Mar 1 2017

Keywords

Grade IV laceration
Pediatric
Renal trauma

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10.1007/s11934-017-0665-z

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title = "Management of Pediatric Grade IV Renal Trauma",

abstract = "Purpose of Review: Review the current literature regarding the management of grade IV renal injuries in children. Recent Findings: Children are at increased risk for renal trauma compared to adults due to differences in anatomy. Newer grading systems have been proposed and are reviewed. Observation of most grade IV renal injuries is safe. Operative intervention is necessary for the unstable patient to control life-threatening bleeding with either angioembolization or open exploration. Symptomatic urinomas may require percutaneous drainage and/or endoscopic stent placement. Ureteropelvic junction (UPJ) disruption, seen more often in children, requires immediate surgical repair. Summary: Grade IV renal injuries in children are increasingly managed in a conservative manner.",

keywords = "Grade IV laceration, Pediatric, Renal trauma",

author = "Murphy, {Gregory P.} and Gaither, {Thomas W.} and Awad, {Mohannad A.} and Osterberg, {E. Charles} and Nima Baradaran and Copp, {Hillary L.} and Breyer, {Benjamin N.}",

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AU - Murphy, Gregory P.

AU - Gaither, Thomas W.

AU - Awad, Mohannad A.

AU - Osterberg, E. Charles

AU - Baradaran, Nima

AU - Copp, Hillary L.

AU - Breyer, Benjamin N.

PY - 2017/3/1

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N2 - Purpose of Review: Review the current literature regarding the management of grade IV renal injuries in children. Recent Findings: Children are at increased risk for renal trauma compared to adults due to differences in anatomy. Newer grading systems have been proposed and are reviewed. Observation of most grade IV renal injuries is safe. Operative intervention is necessary for the unstable patient to control life-threatening bleeding with either angioembolization or open exploration. Symptomatic urinomas may require percutaneous drainage and/or endoscopic stent placement. Ureteropelvic junction (UPJ) disruption, seen more often in children, requires immediate surgical repair. Summary: Grade IV renal injuries in children are increasingly managed in a conservative manner.

AB - Purpose of Review: Review the current literature regarding the management of grade IV renal injuries in children. Recent Findings: Children are at increased risk for renal trauma compared to adults due to differences in anatomy. Newer grading systems have been proposed and are reviewed. Observation of most grade IV renal injuries is safe. Operative intervention is necessary for the unstable patient to control life-threatening bleeding with either angioembolization or open exploration. Symptomatic urinomas may require percutaneous drainage and/or endoscopic stent placement. Ureteropelvic junction (UPJ) disruption, seen more often in children, requires immediate surgical repair. Summary: Grade IV renal injuries in children are increasingly managed in a conservative manner.

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Management of Pediatric Grade IV Renal Trauma

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