A great role in the pathogenesis of traumas in newborns is assigned to hypoxia and hypoxic hemorrhages, and also to mechanical impacts during deliveries. This is associated with objective difficulties in diagnosis of traumas of organs of the abdominal cavity and of the retroperitoneal space in newborns. Aim. To present and analyze clinical cases of trauma of parenchymal organs of the abdominal cavity and of the retroperitoneal space in newborns. In clinics of childrens surgery seven children with pathology of adrenals, three with trauma of the liver and one with rupture of spleen have been observed within the recent 10 years. No damages to the stomach, pancreas, duodenum, small and large intestine, kidneys and urinary bladder were recorded. In the article clinical cases of trauma of adrenals, liver and spleen are presented. Conclusion. Damages to parenchymal organs of the abdominal cavity and of the retroperitoneal space in newborns are very rare. More commonly adrenals are affected, less commonly liver and spleen. The diagnosis of a parenchymal organ in newborns is a reason for immediate transferal of the child to a surgical hospital.

MATERIALS AND METHODS: Within 20 yrs, 76 children aged 28 yrs with kidney trauma were under observation, and 35 of them had associated trauma. Clinical, instrumental, and radiological methods were used in the diagnosis. RESULTS: Of the 76 children with closed kidney trauma, 23 were diagnosed with kidney contusion, 14 with kidney injury with subcapsular hematoma, 16 with kidney injury with rupture of the capsule and perirenal urohematoma, 21 with kidney rupture and damage to the calyxpelvic system, and 2 with traumatic hydronephrotic kidney. Conservative treatment was carried out in 49 (64.4%) children and surgical treatment in 28 (25.6%). In the long term, 28 children with kidney injuries and treated conservatively were examined. Complications were found in nine children: pyeloectasia, deformation of the calyxpelvic system, pyelonephritis, and renal hypertension. Organ-preserving surgery was performed in 22 (28.9%) children and nephrectomy in 5 (6.6%) children. As long-term results: the function of the operated kidneys was satisfactory, some changes occurred in the calyxpelvic systems, and no data for pyelonephritis was found. CONCLUSION: Renal injuries with subcapsular rupture and perirenal urohematoma should be surgically treated to prevent severe long-term complications. In unclear cases, the choice can be a two-stage organ-preserving operation for the so-called crushing of the kidney.