Renal tumor and trauma: a pitfall for conversative management

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dc.contributor.authorAbib, Simone de Campos Vieira [UNIFESP]
dc.contributor.authorLeite, Mila Torii Corrêa [UNIFESP]
dc.contributor.authorRibeiro, Rodrigo Chaves [UNIFESP]
dc.contributor.authorFachin, Camila Girardi [UNIFESP]
dc.contributor.authorDemuner, Maris Salete [UNIFESP]
dc.contributor.authorCypriano, Monica [UNIFESP]
dc.contributor.authorSchettini, Sérgio Tomaz [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2015-06-14T13:43:10Z
dc.date.available2015-06-14T13:43:10Z
dc.date.issued2011-08-01
dc.description.abstractPURPOSE: Conservative management has been largely used for renal trauma. Although this approach is safe and highly recommended, it can hide a pre-existing unknown condition, such as tumors or urinary malformations. A high index of suspicion is needed for early recognition of these conditions. We present four cases treated at the Pediatric Oncology Institute - Federal University of São Paulo, which have been initially treated conservatively for renal trauma. MATERIALS AND METHODS: We reviewed all 218 renal cases of renal tumors treated at our institution in a 22-year period, searching for associated trauma events. RESULTS: Four cases of renal tumors were initially treated conservatively for blunt renal trauma of low energy mechanism. Patients' ages ranged from 7 to 12 years old. Two patients had no previous symptoms, one patient had hematuria and another had an abdominal mass. Computerized Axial Tomography (CT) of the abdomen revealed disparate magnitude of the renal bleeding to the low energy mechanism of trauma. All patients underwent surgical treatment. Kidney specimens showed Wilms tumor in three cases and renal carcinoma in one. CONCLUSIONS: The association between renal tumors and trauma should be suspected when renal trauma hemorrhage on abdominal CT scan does not match the low energy mechanism of blunt abdominal trauma. The key for a successful diagnosis of renal tumor or congenital malformations is the high index of suspicion for these conditions.en
dc.description.affiliationFederal University of São Paulo Surgery Department
dc.description.affiliationUnifespUNIFESP, Surgery Department
dc.description.sourceSciELO
dc.format.extent514-518
dc.identifierhttp://dx.doi.org/10.1590/S1677-55382011000400011
dc.identifier.citationInternational braz j urol. Sociedade Brasileira de Urologia, v. 37, n. 4, p. 514-518, 2011.
dc.identifier.doi10.1590/S1677-55382011000400011
dc.identifier.fileS1677-55382011000400011.pdf
dc.identifier.issn1677-5538
dc.identifier.scieloS1677-55382011000400011
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/6534
dc.identifier.wosWOS:000300365100012
dc.language.isoeng
dc.publisherSociedade Brasileira de Urologia
dc.relation.ispartofInternational braz j urol
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectinjuriesen
dc.subjectkidneyen
dc.subjectneoplasmsen
dc.subjecttreatment outcomeen
dc.subjectdiagnosisen
dc.titleRenal tumor and trauma: a pitfall for conversative managementen
dc.typeinfo:eu-repo/semantics/article
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