Urogenital injuries in childhood: A strong association of bladder trauma to bowel injuries |
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Authors: | Dokucu AI Özdemir E Öztürk H Otçu S Önen A Çiğdem K Kaya M Bükte Y Yücesan S |
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Institution: | (1) Department of Pediatric Surgery, Dicle University Hospital, Diyarbakir, Turkey;(2) Department of Urology, Dicle University Hospital, Diyarbakir, Turkey;(3) Department of Radiology, Dicle University Hospital, Diyarbakir, Turkey |
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Abstract: | We analysed the inter-relationships of the cause and the type of trauma, the presence of pelvic fracture, the associated intraabdominal
organ injuries,and the morbidity and mortality rates in 154 patients presenting and being treated for UGT between 1983 and
1997.The cause of injury was blunt in 77% of cases and penetrating in 13%. The most frequently injured organs were kidney
followed by urethra and bladder. Bowels, liver and spleen were the most frequently associated injured organs. Moreover, bladder
injuries were strongly associated with bowel injuries (p < 0.0001). Hemodynamically normal 49 children with minor or major kidney injuries were managed conservatively. Hemodynamically
non-stable 11 patients were explored.The majority of urogenital injuries can be managed conservatively evenwhen associated
with intraabdominal organ injuries. Solid genitourinary organ injuries may accompany more frequently to intraperitoneal solidorgan
injury. Whereas, non-solid genitourinary organ injuries may more frequently associated with injuries of intraperitoneal hollow
viscus.
This revised version was published online in August 2006 with corrections to the Cover Date. |
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Keywords: | Bladder injury Bowel injury Children Pelvic trauma Renal injury Urogenital trauma |
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