ABSTRACT
In recent years the number of children hospitalised due to multi-organ injuries, including kidney injuries, has systematically risen. The aim of the article is to present the history of illness of three boys with kidney injuries, as well as to analyse the impact of the variety of symptoms and their consequences on the choice of treatment. Frequency of kidney injuries in children coupled with the lack of correlation between the extent of the injury, severity of kidney damage, clinical symptoms and the presence or the lack of haematuria, requires that ultrasound examination of abdominal cavity is carried out in every case of every child with an injury, not just in cases of injuries to the abdominal cavity, followed by a more detailed imaging diagnostics if necessary. At present, computer tomography should be treated as the treatment method of choice in all patients with multiorgan injuries. Children with kidney injuries should be treated according to world standards and nephrectomy should be limited to chosen cases.
Subject(s)
Abdominal Injuries/diagnostic imaging , Kidney/diagnostic imaging , Kidney/injuries , Multiple Trauma/diagnostic imaging , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/surgery , Adolescent , Child , Hematuria/diagnostic imaging , Hematuria/etiology , Humans , Kidney/surgery , Male , Nephrectomy , Radiography , Ultrasonography , Wounds, Nonpenetrating/complicationsABSTRACT
The authors present an atypical case of MEST uncovered in 12-year-old girl diagnosed with recurrent pyuria and persistent albuminuria with concomitant hypertension. Urine changes persisted despite the antibiotics therapy and they were accompanied with aseptic urine cultures. While investigating these changes, USG, urography, CT and MRI were performed and these manifested tumor-like change in the right kidney. Right-side nefrectomy was performed. Microscopically MEST was found while infection was found in parenchyma. Mixed epithelial and stromal tumor is a very rare kidney tumor that occurs almost exclusively in perimenopausal women or women after a long-term estrogen replacement. There are only few cases of this tumor in premenarcheal girls described in literature.
Subject(s)
Kidney Neoplasms/diagnosis , Kidney Neoplasms/pathology , Nephroma, Mesoblastic/diagnosis , Nephroma, Mesoblastic/pathology , Albuminuria/etiology , Child , Female , Humans , Hypertension/etiology , Kidney Neoplasms/surgery , Nephrectomy , Nephroma, Mesoblastic/surgery , Pyuria/etiology , Rare Diseases , Recurrence , Stromal Cells/pathologyABSTRACT
Urinary tract abnormalities are the most common congenital malformations in children. Prenatal diagnostics allows their early detection. One third of anomalies, which are detected in prenatal ultrasonography become urinary tract abnormalities. Diagnostics followed by an effective treatment prevents the development of irreversible changes in kidneys. Urinary tract infections, especially recurrent cases are an obligatory indication to perform urinary tract imaging.
