Dissection traumatique de l’artère rénale gauche chez un adulte jeune

Zoulati, M.; Slaoui, Amine; Bakkali, T.; Aghoutane, N.; Lyazidi, Y.; Chtata, H.; Janane, A.; Ameur, A.; Taberkant, M.

doi:10.1016/j.jdmv.2018.05.004

Cited by 1 publication

(2 citation statements)

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“…They are frequently unilateral (left) and associated with polytrauma where intra-abdominal lesions predominates. 1 Their proportion represents 2.5% to 4% of all the kidney injuries of patients admitted to surgical emergencies. 3 Complete arterial thrombosis is even rarer.…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic lesions of the renal artery, classified as stage 5 according to the ASST classification (American Society of the Surgery of Trauma), are extremely rare and represent 1 to 4% of all the renal traumatisms. 1 These lesions are most often encountered in polytrauma context; delayed diagnosis is due to the frequent absence of hematuria. For these severe traumas, the debate persists between supporters of a conservative attitude and those who advocate surgery.…”

Section: Introductionmentioning

confidence: 99%

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Surveillance under improved supportive measures, as a safe approach to manage acute posttraumatic left renal ischemia. Case report

Mellouki¹

2018

MOJCR

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Most traumatic kidney injuries are due to closed trauma caused by traffic or sports accidents. The validation of the ASST classification (American Society of the Surgery of Trauma) has led to a better analysis and management of those lesions. The occurrence of acute renal ischemia following trauma is a rare entity and is often associated with multi-organ dysfunction. There is no real recommendation for the management of this entity because of their low incidence, the delay in diagnosis and partly because of the diversity of the actors of the therapeutic decision. Our observation illustrates the safety of a conservative attitude in the management of a post-traumatic left renal ischemia, and through which we will resume the pathophysiological, diagnostic and therapeutic aspects.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%