A.I. BURNASYAN FMBC CLINICAL BULLETIN

ISSN 2782-6430 (print)

State Research Center −Burnasyan Federal Medical Biophysical
Center of Federal Medical Biological Agency

The journal is published in Russian.
Format – A4.
The periodicity of the journal is 4 times a year.

Issue №2 2025 год

A.I. Burnasyan  FMBC clinical bulletin. 2022 № 4

V.A.Bikovskiy, E.A.Ionova, T.A.Anosova
Echographic Assessment of Local Changes with Closed Kidney Injury in Children

A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: Bikovskiy Vladimir Aleksandrovich: bikovskiyva@gmail.com

Abstract
The aim of the investigation was to present the results of dynamic ultrasound examination of the evolution of local changes accompanying kidney injury in comparison with the studied manifestations of pathomorphogenesis of renal injury. Dynamic ultrasound examination of 216 patients aged 2 to 16 years with kidney injury of varying severity was performed. The obtained data were compared with the results of X-ray examinations, intraoperative findings and pathomorphological conclusions. It was showed that polymorphic changes accompanying a renal injury can be differentiated based on the identification of specific morphodynamic stereotypes – permanent evolving signs that accompany, in particular: bruising (contusion) of the kidney, tissue integrity disorders, hemorrhagic manifestations, intra-organ vascular obstruction and acute post-traumatic inflammation. Each of the presented stereotypes is comparable with the corresponding manifestations of pathomorphogenesis of traumatic damage to the renal tissue. Conclusion. Echographic data, clearly correlated with changes in the morphological substrate, determine the ultrasound semiotics of kidney injury. This allows us to identify and predict the development of each stereotype in a timely manner, with the selection of the dominant (clinically most significant) at the time of the study, which in due time can be used for a rational choice of organ-preserving treatment tactics.

Keywords: spongy kidney, computer tomography, nephrocalcinosis

For citation: Bikovskiy VA, Ionova EA, Anosova TA. Echographic assessment of local alterations with closed kidney injury in children. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2022.4:41-51. (In Russian) DOI: 10.33266/2782-6430-2022-4-41-51


REFERENCES

  1. Lopatkin N.A., Pugachev A.G. Injuries of the Genitourinary Organs. Detskaya Urologiya = Children’s Urology. A Guide. Moscow, Meditsina Publ., 1986. P. 424-463 (In Russ.).
  2. Tsimmerman T.R. Kriterii Obosnovaniya Khirurgicheskoy Taktiki pri Zakrytoy Travme Pochek u Detey = Criteria for Substantiating Surgical Tactics for Closed Kidney Injury in Children. Extended Abstract of Candidate’s Thesis in Medicine. Moscow Publ., 1987 (In Russ.).
  3. Belyayeva O.A., Rozinov V.M. Ultrasonic Diagnostics in Traumatology. Ultrazvukovaya Diagnostika v Detskoy Khirurgii = Ultrasonic Diagnostics in Pediatric Surgery. Moscow, Profit Publ., 1997. P. 191-206 (In Russ.).
  4. Goritskiy M.I. Diagnostika i Lecheniye Travmy Pochek u Detey (Khirurgicheskaya Taktika, Spetsialnyye Metody Issledovaniya) = Diagnosis and Treatment of Kidney Injury in Children (Surgical Tactics, Special Research Methods). Extended Abstract of Candidate’s Thesis in Medicine. Moscow Publ., 2007 (In Russ.).
  5. Merrot T., Alessandrini P. Closed Traumas of the Kidney in Children. Conservative Treatment. J. Urol. 1996;102:19-22.
  6. Miele V., Piccolo C.Lucia., Trinci M. Diagnostic Imaging of Blunt Abdominal Trauma in Pediatric Patients. Radiol. Med. 2016;121;5:409-430.
  7. Overs C., Teklali Y., Boillot B. Evolution of the Management of Severe Trauma Kidney Injuri and Long-Term Renal Function in Children. Actuelle Urol. 2017;48;1:64-71.
  8. Root J., Abo A., Cohen J. Point-of-Care Ultrasound Evalution of Severe Renal Trauma in an Adolescent. J. Urol. 2018;199;2:552-557.
  9. Amersorfer E., Haberlik A., Riccabona M. Imaging Assessment of Renal Injuries in Children and Adolescents: CT or Ultrasound? J. Pediat. Urol. 2014;10;5:815-828.
  10. Canon St., Recicar J., Head B. The Utility of Initial and Follow-Up Ultrasound Reevaluation for Blunt Renal Trauma in Children and Adolescents. J. Urol. 2009;181;4:1834-1840.
  11. Sapozhnikova M.A. Kidney Damage in Closed Abdominal Trauma and Their Complications. Morfologiya Zakrytoy Travmy Grudi i Zhivota = Morphology of Closed Trauma of the Chest and abdomen. Moscow, Meditsina Publ., 1986. P. 132-138 (In Russ.).
  12. Shanpidze V.V. Tramva Pochki u Detey = Kidney injury in children. Extended Abstract of Candidate’s Thesis in Medicine. Moscow Publ., 1975 (In Russ.). Pytel Yu.A., Zolotarev I.I. Kidney Injuries. Neotlozhnaya Urologiya = Emergency Urology. Moscow, Meditsina Publ., 1985. P. 124-210 (In Russ.).
  13. Ustimenko Ye.M. Travma Pochek = Kidney Injury. Moscow, Meditsina Publ., 1981 (In Russ.).
  14. Naumenko A.A. Ultrazvukovaya Diagnostika Povrezhdeniya Organov Mochepolovoy Sistemy = Ultrasound Diagnosis of Damage to the Organs of the Genitourinary System. Extended Abstract of Candidate’s Thesis in Medicine. Moscow Publ., 1992 (In Russ.).
  15. Mayor B., Gudinchet F., Wicky S. Imaging Evaluation of Blunt Renal Trauma in Children: Diagnostic Accuracy of Intravenous Pyelography and Ultrasonograhy. Pediatr. Radiol. 1995;25;3:214-218.
  16. Avtandilov G.G. Problems of Studying Patho- and Morphogenesis. Problemy Patogeneza i Patologoanatomicheskoy Diagnostiki Bolezney v Aspektakh Morfometrii = Problems of Pathogenesis and Pathoanatomical Diagnosis of Diseases in Aspects of Morphometry. Moscow, Meditsina Publ., 1984. P. 10-27 (In Russ.).
  17. Bykovskiy V.A., Zarubina S.A. Doppler Ultrasound in Assessing the Severity of Kidney Damage in Children. Ultrazvukovaya Diagnostika. 1977;4:10-11 (In Russ.).
  18. Bykovskiy V.A. Ultrazvukovaya Diagnostika Ostrogo Piyelonefrita i Yego Khirurgicheskikh Oslozhneniy u Detey = Ultrasound Diagnosis of Acute Pyelonephritis and Its Surgical Complications in Children. Moscow Publ., 1996 (In Russ.).
  19. Bykovskiy V.A. The role of Assessing the Morphodynamic Stereotype of Pathology in Abdominal Ultrasound Diagnostics. Ekhografiya. 2001;2;2:215-224 (In Russ.).

Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 10.09.2022. Accepted for publication: 14.10.2022

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