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Four children between 5 and 10 years old suffered traumatic amputation of the left lower renal pole following flank trauma. All patients were evaluated with excretory urography and isotope renography. The renal scan clearly demonstrated failure of perfusion of the lower renal pole and urinary extravasation, and was believed to be more valuable than the standard excretory urogram as a diagnostic tool. All children were managed similarly: delayed (72 to 96 hours) exploration, simple removal of the amputated segment and insertion of a Penrose drain. They all have done well. The patients were normotensive at followup and had excellent function of the remaining portion of the kidney.
J Waxman, and
A B Belman, and
E J Kass
May 1987,
The Journal of urology,
J Waxman, and
A B Belman, and
E J Kass
December 2008,
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie,
J Waxman, and
A B Belman, and
E J Kass
January 2007,
Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft,
J Waxman, and
A B Belman, and
E J Kass
October 2004,
BJU international,
J Waxman, and
A B Belman, and
E J Kass
March 2005,
BJU international,
J Waxman, and
A B Belman, and
E J Kass
January 1982,
Ortopediia travmatologiia i protezirovanie,
J Waxman, and
A B Belman, and
E J Kass
January 1995,
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association,
J Waxman, and
A B Belman, and
E J Kass
July 2000,
Clinical pediatrics,
J Waxman, and
A B Belman, and
E J Kass
January 2002,
Reviews in urology,
J Waxman, and
A B Belman, and
E J Kass
January 1954,
Acta chirurgica Iugoslavica,
