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

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...

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Bibliographic Details
Published in:Case reports in pediatrics 2020-09, Vol.2020 (2020), p.1-4
Main Authors: Roussel, Aphaia, Ulinski, Tim, Delbet, Jean-Daniel
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Biopsy
Blood pressure
Case Report
Case reports
Creatinine
Dissection
Emergency medical care
Hemodialysis
Hemorrhagic shock
Hypotheses
Ischemia
Medical imaging
Neuroblastoma
Pediatrics
Proteins
Thrombosis
Trauma
Ultrasonic imaging
Veins & arteries
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Summary: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.
ISSN:2090-6803
2090-6811
DOI:10.1155/2020/6548591