Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury
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 ischem...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2020/6162158 |
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| author | David G. Jackson Phillipe Abreu Manuel Anthony Moutinho Antonio Marttos George W. Burke Nicholas Namias Gaetano Ciancio |
| author_facet | David G. Jackson Phillipe Abreu Manuel Anthony Moutinho Antonio Marttos George W. Burke Nicholas Namias Gaetano Ciancio |
| author_sort | David G. Jackson |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-6dde9b91735c4562b2897acea04a9403 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-6dde9b91735c4562b2897acea04a94032025-02-03T01:25:16ZengWileyCase Reports in Urology2090-696X2090-69782020-01-01202010.1155/2020/61621586162158Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic InjuryDavid G. Jackson0Phillipe Abreu1Manuel Anthony Moutinho2Antonio Marttos3George W. Burke4Nicholas Namias5Gaetano Ciancio6Department of Surgery, University of Miami Miller School of Medicine, USAMulti-Organ Transplant Program, University of Toronto, CanadaRyder Trauma Center, Jackson Memorial Hospital, University of Miami Miller School of Medicine, USARyder Trauma Center, Jackson Memorial Hospital, University of Miami Miller School of Medicine, USAMiami Transplant Institute, Jackson Memorial Hospital, University of Miami Miller School of Medicine, USARyder Trauma Center, Jackson Memorial Hospital, University of Miami Miller School of Medicine, USAMiami Transplant Institute, Jackson Memorial Hospital, University of Miami Miller School of Medicine, USARenal 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.http://dx.doi.org/10.1155/2020/6162158 |
| spellingShingle | David G. Jackson Phillipe Abreu Manuel Anthony Moutinho Antonio Marttos George W. Burke Nicholas Namias Gaetano Ciancio Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury Case Reports in Urology |
| title | Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury |
| title_full | Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury |
| title_fullStr | Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury |
| title_full_unstemmed | Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury |
| title_short | Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury |
| title_sort | kidney salvage with renal artery reconstruction after blunt traumatic injury |
| url | http://dx.doi.org/10.1155/2020/6162158 |
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