Improvement of renal function after nephron-sparing operation of a pediatric blunt renal trauma

Introduction: The major aim of diagnostic and therapic efforts in blunt ren al trauma is the preservation of renal function especially in children. The re must be a close teamwork of pediatricians, radiologists and urologists i n order to establish an effective conservative treatment to save a good fun ctional result. Case report: The case of a four year old girl with a blunt renal trauma gra de 4 according to AAST is reported. A primary conservative treatment was fo llowed by a secondary operative exploration after consolidation of the hema toma. Postoperatively there was an improvement of renal function. Conclusions: Even in pediatric cases with severe traumas of the kidney a pr imary conservative treatment is often successful. Only a few patients need a secondary operative treatment.