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.
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.