Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 8 , ISSUE 3 ( September-December, 2019 ) > List of Articles

RESEARCH ARTICLE

Análisis de una serie de trauma renal en pacientes menores de 15 años en un centro hospitalario de alta complejidad de la ciudad de Medellín, Colombia

Carlos Delgado López, Julieta Correa Restrepo, David Mejía Toro, Carlos Morales Uribe

Keywords : Angioembolization, Conservative, Kidney, Nonoperative, Pediatric, Renal, Trauma

Citation Information : López CD, Restrepo JC, Toro DM, Uribe CM. Análisis de una serie de trauma renal en pacientes menores de 15 años en un centro hospitalario de alta complejidad de la ciudad de Medellín, Colombia. Panam J Trauma Crit Care Emerg Surg 2019; 8 (3):165-169.

DOI: 10.5005/jp-journals-10030-1253

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: The kidney is an organ frequently affected in children with abdominal trauma. Approximately 1 of 10 patients will have an injury of the renal parenchyma, vascular hilar or collecting systems. Materials and method: The objective of this work was to analyze a series of pediatric patients with renal trauma, evaluate their clinical evolution and the result of the treatment through a retrospective and descriptive study. Patients under 15 years of age admitted with suspicion or diagnosis of renal trauma between January 2013 and March 2019 at the San Vicente Foundation University Hospital in the city of Medellín, Colombia were included. The exclusion criteria were all those patients with incomplete medical history, older than 15 years, iatrogenic lesions and known renal malformation. Results: One hundred and forty four patients with a diagnosis of abdominal trauma and suspected renal involvement were identified; in 29.9% the diagnosis could be confirmed. Of the 43 patients, 65.1% were men and the average age was 9.4 years. Closed trauma corresponded to 93%, with the main etiology being falls (27.9%) followed by blunt trauma (20.9%). The main symptoms were low back pain, abdominal pain and hematuria. Grade III trauma was the most frequent (40.2%) followed by IV (30.2%). Conclusion: The most frequent treatment was clinical observation (76.7%) with 100% effectiveness. 16.3% required surgery and 7% angioembolization as initial management with an effectiveness of 100% and 66% respectively. The complication rate was 7% and there were no deaths in the present study.


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