2026 Clinician Corner - Shattered kidney: a case report highlighting the use of conservative interventions in high-grade pediatric renal trauma

CE BROKER: For Texas physicians who have updated their EthosCE profile, credit claimed for this activity will be reported to CE Broker.

Abstract 

Renal injury is relatively uncommon among pediatric patients who incur blunt abdominal trauma. Noninvasive management is recommended for hemodynamically stable patients with a renal injury; however, there is limited data on the use of endourologic procedures in the management of pediatric renal trauma. We present a pediatric patient with a grade 4 renal laceration treated with a ureteral stent and percutaneous drain placement, supporting the use of minimally invasive strategies in select pediatric patients with high-grade renal injuries. 

Keywords:  Endourology; high-grade renal injury; pediatric renal trauma; shattered kidney; ureteral stent

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Faculty credentials/disclosure 

The planners and faculty for this activity have no relevant financial relationships to disclose. The patient consented to the publication of this report.

Process

Click the "add to cart/begin" button, pay any relevant fee, take the quiz, complete the evaluation, and claim your CME credit.  You must achieve 100% on the quiz with unlimited attempts available.

  • By completing this process, you are attesting that you have read the journal article.

Expiration date:

Credit eligibility for this article is set to expire on November 1, 2027.

Learning Objectives

After completing the article, the learner should be able to:

  • Develop management plans for different grades of renal trauma. 

  • Recognize the utility of minimally invasive endourologic and radiologic procedures in pediatric patients who sustain high-grade renal trauma. 

Key Points 

  • High-grade renal lacerations can be managed conservatively in pediatric patients. 

  • Endourological and radiologic procedures can be safely used in select pediatric patients after high-grade renal trauma, promoting renal preservation

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Course summary

Available credit: 
  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

  • 1.00 American Board of Surgery (ABS) Accredited CME

    Successful completion of this CME activity enables the learner to earn credit toward the CME requirement of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

  • 1.00 AMA PRA Category 1 Credit™
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 1.00 Attendance
Course opens: 
11/01/2026
Course expires: 
11/01/2027
Cost:
$25.00

Marissa N. Rosa, BSa, Priscilla Anderton, MDb, Samy Heshmat, MDc, and Marawan M. El Tayeb, MDa,b 

a Baylor College of Medicine – Temple, Temple, Texas, USA 

b Department of Urology, Baylor Scott & White Medical Center – Temple, Temple, Texas, USA 

c Department of Urology, AdventHealth Central Texas, Killeen, Texas, USA 

Corresponding author: Marissa N. Rosa, BS, Baylor College of Medicine – Temple, 2401 S. 31st St., Temple, TX 76508 (e-mail: [email protected]) 

The planners and faculty for this activity have no relevant financial relationships to disclose. The authors report no funding. The patient consented to publication of this case report. 

Accreditation

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation

AMA PRA Category 1 Credit™

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABS CC

Successful completion of this CME activity enables the learner to earn credit toward the CME requirement of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

ABIM MOC

 Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Available Credit

  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

  • 1.00 American Board of Surgery (ABS) Accredited CME

    Successful completion of this CME activity enables the learner to earn credit toward the CME requirement of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

  • 1.00 AMA PRA Category 1 Credit™
    The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
  • 1.00 Attendance

Price

Cost:
$25.00
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