Renal infarction resulting from traumatic renal artery dissection

Kang, Kyung Pyo; Lee, Sik; Kim, Won; Jin, Gong Yong; Na, Ki Young; Yun, Il Yong; Park, Sung Kwang

doi:10.3904/kjim.2008.23.2.103

Cited by 13 publications

(12 citation statements)

References 6 publications

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“…Surgical treatments are generally preferred in renal infarction cases of traumatic origin, especially in the renal infarction cases with complications such as renal artery dissection or active bleeding (2,3). If renal function and vital signs are normal in renal artery dissection, invasive treatment may not be necessary because medical treatment alone with strict blood pressure control is as effective as surgical management (8). Our first case was treated with low molecular weight heparin.…”

Section: Discussionmentioning

confidence: 93%

Renal Infarction with two Different Etiologies: Two Case Reports

Gül¹,

Dündar²,

Ayan³

et al. 2012

JAEMCR

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Renal infarction is a rare clinical problem and it is frequently misdiag-nosed because of the nonspecificity of its symptoms. We present two cases of renal infarction with two different etiologies. The first case was a 43-year-old male who attended the emergency department for pain in the left flank. A contrast-enhanced abdominal computed tomog-raphy scan was performed due to the persistent pain, and the segmental renal infarction was detected. The second case, a 6-year-old girl, was hospitalized due to falling from a height of 8 meters. Traumatic renal infarction was detected in the abdominal computed tomography scan which was performed during the assessment for multiple traumas. Both patients were followed-up conservatively and discharged from the hospital without any renal complications. The diagnosis of renal infarc-tion is generally based on the clinical suspicion. Emergency physicians should keep renal infarction in mind during the management of the patients with abdominal, back or flank pain. ÖZET Renal infarkt nadir görülen bir klinik problemdir ve sıklıkla silik semp-tomları nedeniyle yanlış tehşis edilir. Burada farklı iki etiyolojiye sahip iki renal infarkt olgusu sunacağız. İlk olgu sol yan ağrısı nedeniyle acil servise başvuran 43 yaşında erkekti. Tedaviye dirençli ağrı nedeniyle hastaya yapılan kontrastlı batın bilgisayarlı tomografi görüntülemesin-de segmental renal infarkt teşhis edildi. İkinci olgu 8 metre yüksekten düşme nedeniyle takip edilen 6 yaşında kızdı. Çoklu travma açısından değerlendirilirken hastanın batın bilgisayarlı tomografisinde travma-tik renal infarkt tespit edildi. Her iki hasta da konservatif olarak takip edildi ve böbrek fonksiyonları açısından komplikasyon gelişmemesi üzerine taburcu edildi. Renal infarkt tanısı genellikle klinik şüpheye dayanır. Acil servis hekimleri karın, bel ve yan ağrısı şikayeti olan has-taların klinik yönetimi sırasında renal infarkt tanısını da aklında bulun-durmalıdır. Anahtar Kelimeler: Renal infarkt, travma, karın ağrısı, yan ağrısı Başvuru Tarihi: 31.05.2011

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Section: Discussionmentioning

confidence: 93%

Renal Infarction with two Different Etiologies: Two Case Reports

Gül¹,

Dündar²,

Ayan³

et al. 2012

JAEMCR

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“…Traumatic dissection of the renal artery is often due to a mechanism of acceleration or/and deceleration with a closed abdominal trauma [ 6 ] and is easily identified on CT scan. Thrombosis of the renal artery is more often unilateral than bilateral.…”

Section: Discussionmentioning

confidence: 99%

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

Roussel

Delbet

Ulinski

2020

Case Reports in Pediatrics

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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.

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“…Renal artery dissection may be caused by iatrogenic injury, trauma, or arterial disease including fibromuscular disease, atherosclerotic disease, or connective tissue disorders (11). Clinical presentation of dissection of the renal artery may be classified as acute or chronic.…”

Section: Discussionmentioning

confidence: 99%