Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury
Joint Authors
Burke, George W.
Jackson, David G.
Abreu, Phillipe
Moutinho, Manuel Anthony
Marttos, Antonio
Namias, Nicholas
Ciancio, Gaetano
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Jackson, David G.& Abreu, Phillipe& Moutinho, Manuel Anthony& Marttos, Antonio& Burke, George W.& Namias, Nicholas…[et al.]. 2020. Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury. Case Reports in Urology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151802
Modern Language Association (MLA)
Jackson, David G.…[et al.]. Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury. Case Reports in Urology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1151802
American Medical Association (AMA)
Jackson, David G.& Abreu, Phillipe& Moutinho, Manuel Anthony& Marttos, Antonio& Burke, George W.& Namias, Nicholas…[et al.]. Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury. Case Reports in Urology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151802
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151802