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Pediatrics
Diagnosis
Genitourinary
Miscellaneous Renal Conditions
Renal Injury
Renal Injury
Michael R. Aquino, MD, MHSc; A. Carlson Merrow, Jr., MD, FAAP
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Trauma to parenchyma &/or collecting system of kidney

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Angiographic Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Chiron P et al: Grade IV renal trauma management. A revision of the AAST renal injury grading scale is mandatory. Eur J Trauma Emerg Surg. 42(2):237-41, 2016
                                            2. Dahlstrom K et al: Blunt renal trauma in children with pre-existing renal abnormalities. Pediatr Radiol. 45(1):118-23; quiz 115-7, 2015
                                            3. Grimsby GM et al: Demographics of pediatric renal trauma. J Urol. 192(5):1498-502, 2014
                                            4. Morey AF et al: Urotrauma: AUA guideline. J Urol. 192(2):327-35, 2014
                                            5. Reese JN et al: Timing and predictors for urinary drainage in children with expectantly managed grade IV renal trauma. J Urol. 192(2):512-7, 2014
                                            6. Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
                                            7. Bartley JM et al: Computed tomography findings in patients with pediatric blunt renal trauma in whom expectant (nonoperative) management failed. Urology. 80(6):1338-43, 2012
                                            8. Alonso RC et al: Kidney in danger: CT findings of blunt and penetrating renal trauma. Radiographics. 29(7):2033-53, 2009
                                            9. Catalano O et al: CEUS in abdominal trauma: multi-center study. Abdom Imaging. 34(2):225-34, 2009
                                            10. Cannon GM Jr et al: Computerized tomography findings in pediatric renal trauma--indications for early intervention?. J Urol. 179(4):1529-32; discussion 1532-3, 2008
                                            11. Körner M et al: Current role of emergency US in patients with major trauma. Radiographics. 28(1):225-42, 2008
                                            12. Malcolm JB et al: Nonoperative management of blunt renal trauma: is routine early follow-up imaging necessary? BMC Urol. 8:11, 2008
                                            13. Kawashima A et al: Imaging of renal trauma: a comprehensive review. Radiographics. 21(3):557-74, 2001
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Trauma to parenchyma &/or collecting system of kidney

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Angiographic Findings

                                                              • Nuclear Medicine Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Chiron P et al: Grade IV renal trauma management. A revision of the AAST renal injury grading scale is mandatory. Eur J Trauma Emerg Surg. 42(2):237-41, 2016
                                                                                      2. Dahlstrom K et al: Blunt renal trauma in children with pre-existing renal abnormalities. Pediatr Radiol. 45(1):118-23; quiz 115-7, 2015
                                                                                      3. Grimsby GM et al: Demographics of pediatric renal trauma. J Urol. 192(5):1498-502, 2014
                                                                                      4. Morey AF et al: Urotrauma: AUA guideline. J Urol. 192(2):327-35, 2014
                                                                                      5. Reese JN et al: Timing and predictors for urinary drainage in children with expectantly managed grade IV renal trauma. J Urol. 192(2):512-7, 2014
                                                                                      6. Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
                                                                                      7. Bartley JM et al: Computed tomography findings in patients with pediatric blunt renal trauma in whom expectant (nonoperative) management failed. Urology. 80(6):1338-43, 2012
                                                                                      8. Alonso RC et al: Kidney in danger: CT findings of blunt and penetrating renal trauma. Radiographics. 29(7):2033-53, 2009
                                                                                      9. Catalano O et al: CEUS in abdominal trauma: multi-center study. Abdom Imaging. 34(2):225-34, 2009
                                                                                      10. Cannon GM Jr et al: Computerized tomography findings in pediatric renal trauma--indications for early intervention?. J Urol. 179(4):1529-32; discussion 1532-3, 2008
                                                                                      11. Körner M et al: Current role of emergency US in patients with major trauma. Radiographics. 28(1):225-42, 2008
                                                                                      12. Malcolm JB et al: Nonoperative management of blunt renal trauma: is routine early follow-up imaging necessary? BMC Urol. 8:11, 2008
                                                                                      13. Kawashima A et al: Imaging of renal trauma: a comprehensive review. Radiographics. 21(3):557-74, 2001