Blunt trauma to the ribcage area or flank is the most common cause of kidney trauma in children.  Treatment depends on the patient’s overall condition, associated injuries, and grade of injury.

The images below show a kidney injury with ongoing bleeding.  The bleeding was successfully stopped by having the radiologist insert a small metal wire to clot off the the vessel.

Renal Injury with active bleeding  angiogram renal injury bleeding

  AAST Organ Injury Grading for Renal Injury


Eastern Trauma guidelines pdf for management of genitourinary injury can be found at EAST Guidelines.

Santucci RA, McAninch JW, Safir M et al. Validation of the American Association for the Surgery of Trauma organ injury severity scale for the kidney. J Trauma. 2001 Feb;50(2):195-200.

Ernest E. Moore, MD, Thomas H. Cogbill, MD, Mark Malangoni, MD, Gregory J. Jurkovich, MD, and Howard R. Champion, MD. Scaling system for organ specific injuries.

Breyer BN, McAninch JW, Elliott SP, Master VA. Minimally invasive endovascular techniques to treat acute renal hemorrhage. J Urol. 2008 Jun;179(6):2248-52;
Brewer ME Jr, Strnad BT, Daley BJ, Currier RP, Klein FA, Mobley JD, Kim ED.
 Percutaneous embolization for the management of grade 5 renal trauma in hemodynamically unstable patients: initial experience.  J Urol. 2009 Apr;181(4):1737-41.

Phoenix Children’s Hospital is Arizona’s Only Level 1 Pediatric Trauma Center