Successful Treatment of Severe Rupture In Lower Kidney24/03/2022
in Paediatrics and Nephrology of the Urology Department, Hoan My Cuu Long Hospital, recently
received and successfully treated a case of severe kidney injury. The five
year-old patient “PNH” from Soc Trang Province, Vietnam, had injured his kidney
in an accident.
According to the boy’s grandmother, PNH tripped and fell on construction
bricks, causing damage to his abdomen. After the fall, he felt abdominal pain
but was still able to undertake normal activities. She took the child to the
local clinic for examination and to be monitored. Around 12 hours after being
admitted, his health deteriorated and he was referred to Hoan My Cuu Long
At Hoan My Cuu Long Hospital, after the patient was examined and paraclinical
tests including abdominal MSCT were performed, PNH was found to be anemic, and
it was noted that the left kidney was severely ruptured, with perirenal fluid
Recognising the serious case, the doctors of urology and internal medicine immediately
prepared the appropriate treatment.
The doctors opted to pursue a parenchymal treatment plan, with intravenous
hydration, monitoring of blood loss, and infection treatment. After more than a
week of active treatment and monitoring, PNH’s condition was stable. He was
discharged, with continued monitoring at home advised.
According to Ths.BS. Nguyen Duc Duy, Deputy Head of the Department of
Nephrology and Urology at Hoan My Cuu Long Hospital, kidney injuries are often
caused by accidents, for example traffic accidents, or sporting or everyday
accidents. The highest frequency of kidney injury cases are seen among children.
However, because such injuries are internal and not visible, they are not easy
to recognize, therefore it is possible that in some cases children to not
receive early medical attention. In many cases, after a forceful impact or
fall, the child is still conscious and may not complain, so it is easy for
parents or caregivers to misinterpret or overlook the warning signs of organ
damage in children.
Dr. Huynh Vu Nhat Linh, a paediatric doctor at Hoan My Cuu Long Hospital, advises
parents that the early signs of kidney injury in children after an accident are
lower back pain, abdominal distension and/or vomiting. Parents also need to
monitor their children for any signs of pink or dark red urine after the injury.
If the kidney injury progresses, the child may have signs of infection such as
fever or dry lip. In cases of severe kidney injury, there may be signs of
complications such as hemorrhagic shock. Depending on the extent of damage to
the kidney and related structures, kidney injuries are rated across five levels
from mild to severe. Even in the case of severe kidney injury, if the kidney
can be preserved or saved, this is their priority. In the event that the kidney
has ruptured in two or more broken sections, it is very difficult to preserve
the kidney. A damaged kidney can burst at any time, and emergency surgery is
After an accident, if a kidney injury is suspected, parents need to take children
to a medical facility for examination. Depending on the condition of the
injury, doctors will recommend a treatment plan suitable for the child. After
returning home, parents need to pay close attention to the child’s condition,
but mainly encourage rest, preventing vigorous activity so that the kidney can
recover. It is also advisable to take the child to a medical facility for regular
check-ups to monitor the condition of the kidneys, as well as to detect any subsequent
or late complications.