Genitourinary trauma in the pediatric patient.
Publication/Presentation Date
11-1-1993
Abstract
Trauma is the major source of mortality in the pediatric population. A retrospective review was performed on patients admitted to the Children's Hospital and Health Center Trauma Program, San Diego, California, from August 1984 to May 1990. The purpose of this review was to evaluate pediatric trauma and to determine the best treatment and evaluation for genitourinary injuries. Blunt trauma was responsible for 98 percent of the injuries, with renal injuries being the most common. Bladder (7) and male urethral (2) injuries, and vaginal lacerations (8) also occurred. The most severe renal injuries (70%) and all significant bladder and urethral injuries were associated with gross hematuria. Hypotension was present in 31 percent of patients but rarely required surgical exploration for correction. Eighty-six patients underwent radiographic imaging. Computerized tomography (CT) scans demonstrated the most information about intra-abdominal solid organ injuries but was inaccurate in detecting bladder or urethral injuries. Genitourinary injury is common in children but rarely requires surgical management. CT scan is the best study to determine extent of solid-organ injury but is inferior to cystourethrography to diagnose bladder or urethral injuries.
Volume
42
Issue
5
First Page
563
Last Page
567
ISSN
0090-4295
Published In/Presented At
McAleer, I. M., Kaplan, G. W., Scherz, H. C., Packer, M. G., & Lynch, F. P. (1993). Genitourinary trauma in the pediatric patient. Urology, 42(5), 563–568. https://doi.org/10.1016/0090-4295(93)90274-e
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
8236601
Department(s)
Department of Pediatrics
Document Type
Article