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Conservative management of grade 1V renal injury with complete transection: a case report

The expectant management of high grade renal injuries in hemodynamically stable children has gained increasing acceptance amongst paediatric surgeons. However, patients with grade 1V injury with complete renal transection have been identified as a subgroup with a poor outcome that may benefit from e...

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Autores principales: Healy, Costa, Hobeldin, Mohamed, Mahomed, Anies
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2531172/
https://www.ncbi.nlm.nih.gov/pubmed/18752672
http://dx.doi.org/10.1186/1757-1626-1-129
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author Healy, Costa
Hobeldin, Mohamed
Mahomed, Anies
author_facet Healy, Costa
Hobeldin, Mohamed
Mahomed, Anies
author_sort Healy, Costa
collection PubMed
description The expectant management of high grade renal injuries in hemodynamically stable children has gained increasing acceptance amongst paediatric surgeons. However, patients with grade 1V injury with complete renal transection have been identified as a subgroup with a poor outcome that may benefit from early operative intervention. Interestingly, both internal and external drainage have been independently utilised as part of the expectant approach. The former is more widely practiced and was first suggested by Haas et al who used it successfully in 5 patients with grade 1V renal trauma. Yet to be clearly established in this context is the value and timing of external drainage, particularly, when used in combination with internal stenting. Described is a child with complete renal transaction who was successfully managed with a combination of internal and external drainage.
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spelling pubmed-25311722008-09-07 Conservative management of grade 1V renal injury with complete transection: a case report Healy, Costa Hobeldin, Mohamed Mahomed, Anies Cases J Case Report The expectant management of high grade renal injuries in hemodynamically stable children has gained increasing acceptance amongst paediatric surgeons. However, patients with grade 1V injury with complete renal transection have been identified as a subgroup with a poor outcome that may benefit from early operative intervention. Interestingly, both internal and external drainage have been independently utilised as part of the expectant approach. The former is more widely practiced and was first suggested by Haas et al who used it successfully in 5 patients with grade 1V renal trauma. Yet to be clearly established in this context is the value and timing of external drainage, particularly, when used in combination with internal stenting. Described is a child with complete renal transaction who was successfully managed with a combination of internal and external drainage. BioMed Central 2008-08-27 /pmc/articles/PMC2531172/ /pubmed/18752672 http://dx.doi.org/10.1186/1757-1626-1-129 Text en Copyright © 2008 Healy et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Healy, Costa
Hobeldin, Mohamed
Mahomed, Anies
Conservative management of grade 1V renal injury with complete transection: a case report
title Conservative management of grade 1V renal injury with complete transection: a case report
title_full Conservative management of grade 1V renal injury with complete transection: a case report
title_fullStr Conservative management of grade 1V renal injury with complete transection: a case report
title_full_unstemmed Conservative management of grade 1V renal injury with complete transection: a case report
title_short Conservative management of grade 1V renal injury with complete transection: a case report
title_sort conservative management of grade 1v renal injury with complete transection: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2531172/
https://www.ncbi.nlm.nih.gov/pubmed/18752672
http://dx.doi.org/10.1186/1757-1626-1-129
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