Find best premium and Free Joomla templates at

Functional sequelae after renal trauma

Q. Ballouhey, F. Lemasson, L. Carfagna, A. Le Mandat, J. Guitard, J. Moscovici, P. Galinier

Children Hospital, CHU Toulouse, France



Introduction: The aim of this study is to evaluate the renal function by DMSA technetium-99m scintigraphy, some time after the traumatic event.

Material and methods: It is a retrospective study that reviews files of 54 children with renal traumas between 1990 and 2008. We have excluded 2 early deaths and 7 patients lost to follow-up. There were 45 patients (8,7 years, 2- 15 years old), all stages and types of treatment included, who underwent ultrasound and abdominal tomodensitometry, blood pressure measurement, serum creatinine dosage and 20 of them, after complete healing underwent a scintigraphy. We have classified them in accordance with the international classification of the American Association for the Surgery of Trauma.

Results: 13 of them had renal trauma stage I-II, 9 stage III , 20 stage IV and 3 stage V . There were no bilateral injuries. Ten patients underwent urgent laparotomy; 2 of them had haemostatic nephrectomies and the other 2 had partial nephrectomies. Three vascular injuries have been treated by angioplasty. Three urohematomas have been drained by 2 double J stents and one external drainage. At long term follow- up no child presented with arterial hypertension or elevated blood creatinine level. At scintigraphy, the total residual renal function was 42. 4% (±6, 3%), 40. 8 %( ±7%) and 40% (± 5%) [average ± (difference type)], respectively for the stages I-II (5 patients), III-IV (12 patients) and V (3 patients).

Conclusion: It seems that in all stages of renal trauma there are functional sequelae that need a close follow-up, in which the scintigraphic examination is essential.


Key words: renal trauma, functional prognostic, scintigraphy