Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury
| Autor: | Manuel Anthony Moutinho, Nicholas Namias, George W. Burke, Gaetano Ciancio, Phillipe Abreu, David G. Jackson, Antonio Marttos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Kidney
medicine.medical_specialty business.industry Exploratory laparotomy medicine.medical_treatment Splenectomy Trauma center 030232 urology & nephrology Renal function Case Report General Medicine Revascularization medicine.disease Diseases of the genitourinary system. Urology 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Abdominal trauma medicine.artery medicine RC870-923 Renal artery business |
| Zdroj: | Case Reports in Urology Case Reports in Urology, Vol 2020 (2020) |
| ISSN: | 2090-6978 2090-696X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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