Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury.
Case Rep Urol
; 2020: 6162158, 2020.
Article
em En
| MEDLINE
| ID: mdl-32257505
ABSTRACT
Renal artery injury from blunt abdominal trauma is a rare condition that is typically managed nonoperatively in hemodynamically stable patients. Revascularization can be achieved by stenting or surgical reconstruction of the renal artery. All attempts at revascularization should minimize warm ischemic time. Here, we discuss a patient postmotor vehicle accident who presented to Ryder Trauma Center with intra-abdominal bleeding. He underwent emergency exploratory laparotomy with splenectomy and abdominal packing. Postoperative CT scan revealed a contrast nonenhancing left kidney. The patient then returned to the operating room and underwent in situ renal artery reconstruction after >4 hours of warm ischemia. The patient survived a 2-month hospital course and was discharged home after prolonged in-hospital stay and intensive care treatment. Nuclear medicine scan showed scarring and atrophy of the reattached kidney with 16.3% of overall function attributed to the affected kidney. This case shows that patients with renal artery injury can be managed operatively with arterial reconstruction. Reducing warm ischemic time is critical in preserving kidney function.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
Case Rep Urol
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos