RENAL TRAUMA IN CHILDREN

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Abstract
Recent experience with two cases of renal trauma led us to review 57 admissions to Children's Memorial Hospital. Chicago, during the last 15 years. It became apparent that a clearly defined approach to the management of renal trauma was lacking. A uniform investigation of such patients to include early intravenous pyelography and followed by renal scan or arteriography when pyelography is inconclusive in assessing the exact nature of the renal damage is recommended. The importance of these studies in diagnosing associated congenital anomalies and solitary kidney is also shown. Criteria for management by early surgical intervention or conservative approach are presented. The ultimate aim in management is to preserve the greatest possible amount of functioning renal tissue with the least risk and morbidity to the patient.

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