Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl

Abstract EN

Posttraumatic renal failure is often due to postischemic renal infarction, caused by identified vascular lesions.

In our patient, a 12-year-old girl with acute anuric renal failure requiring hemodialysis after severe abdominal trauma, no vascular lesion or thrombosis was identified.

Nevertheless, CT-scan and renal biopsy showed typical lesions of diffuse bilateral renal ischemic necrosis.

The main hypothesis is a severe bilateral arterial vasospasm after a blunt abdominal trauma.

The patient recovered only partially with persisting chronic renal failure.