Shattered kidney: a case report highlighting the use of conservative interventions in high-grade pediatric renal trauma.
Marissa N Rosa, Priscilla Anderton, Samy Heshmat et al.
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Case in brief
A pediatric patient sustained blunt abdominal trauma resulting in a grade 4 renal laceration. The injury was managed nonoperatively with a ureteral stent and percutaneous drain placement. The report describes this approach as supporting minimally invasive management in selected pediatric patients with high-grade renal injuries, with the aim of preserving the kidney.
What made this case unusual
The case illustrates use of both endourologic and radiologic interventions—ureteral stenting and percutaneous drainage—in conservative management of a high-grade pediatric renal injury.
Diagnostic / clinical pearl
In a hemodynamically stable child with high-grade renal trauma, conservative management may include endourologic or radiologic procedures in selected cases.
Why it matters
The report highlights minimally invasive options that may support renal preservation when managing selected high-grade pediatric renal injuries.