Renal Artery Thrombosis Due to Closed Trauma

Evans, Alun; Mogg, Richard A.

doi:10.1016/s0022-5347(17)61520-9

Cited by 38 publications

(5 citation statements)

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“…Laceration includes incomplete disruption of one or more layers of the wall (5). Evans and Moggs suggested that deceleration injury to the left renal artery is more common due to the comparative hypermobility of the left kidney as compared with the right (6,8). In our patient, renal artery aneurysm was at the left kidney.…”

Section: Discussionmentioning

confidence: 51%

Hypertension Due to Renal Artery Aneurysm

et al. 2008

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Section: Discussionmentioning

confidence: 51%

Hypertension Due to Renal Artery Aneurysm

et al. 2008

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“…RAT after BTA is uncommon. It is usually unilateral and the left side is involved more often [11,12] . Bilateral involvement is an even rarer finding [13] .…”

Section: Discussionmentioning

confidence: 99%

Isolated Renal Artery Thrombosis because of Blunt Trauma Abdomen: Report of a Case with Review of the Literature

Singh¹,

Gupta²,

Sharma³

et al. 2010

Urol Int

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Background: Isolated renal trauma in case of blunt trauma abdomen (BTA) is not common. Renal artery occlusion by thrombosis in such cases is seen very rarely. These cases had been traditionally treated by early nephrectomy, but nowadays, renal preservation is considered whenever possible. Treatment options to do so are being developed. Methods: Recently we came across one such case of isolated unilateral renal artery thrombosis (RAT) because of BTA. Relevant literature especially on various therapeutic techniques has been critically reviewed briefly along with case presentation. Results: Isolated blunt traumatic RAT has an incidence of less than 1%. Only about 400 cases have been reported. It must be diagnosed and treated as soon as possible to avoid progressive permanent loss of renal function. Contrast-enhanced CT scanning is the preferred modality for evaluation and follow-up of RAT. Conservative treatment is reserved for unilateral cases. For bilateral cases and when RAT occurs in a solitary kidney, revascularization either surgically or more preferably by less invasive percutaneous techniques has been recommended. Conclusion: Renal arterial thrombosis because of blunt abdominal trauma is still an underreported entity, treatment for which has not yet been established. Both early nephrectomy and delayed revascularization are not justified treatment options.

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“…This injury is often observed at the left renal artery, because the left kidney is more mobile than the right 1 . In addition, the renal artery is sometimes compressed between the anterior abdominal wall and the vertebral bodies 2 .…”

Section: Discussionmentioning

confidence: 99%

Thrombolytic therapy for traumatic unilateral renal artery thrombosis

et al. 2006

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We report a case of traumatic unilateral renal artery thrombosis that was successfully treated by thrombolytic therapy. The patient was a 17-year-old woman, who had put her left upper abdomen between a wall and the handle of a ground roller when using it. A computed tomography scan with intravenous contrast showed a lack of contrast in the left kidney. Angiography showed complete occlusion of the left renal artery, and the diagnosis was traumatic left renal artery thrombosis. Following angiography, thrombolytic therapy was performed. Urokinase was administered into the left renal artery, and 360 000 units per 1.5 h was required. Thrombus disappeared and flow of left renal artery was observed. Recovery of left renal function was seen on renoscintigraphy. Surgical maneuvers for traumatic renal artery thrombosis are autotransplantation or thrombectomy generally, but we think that thrombolytic therapy following angiography is a less invasive method and saves warm ischemic time.

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Renal Artery Thrombosis Due to Closed Trauma

Cited by 38 publications

References 1 publication

Hypertension Due to Renal Artery Aneurysm

Hypertension Due to Renal Artery Aneurysm

Isolated Renal Artery Thrombosis because of Blunt Trauma Abdomen: Report of a Case with Review of the Literature

Thrombolytic therapy for traumatic unilateral renal artery thrombosis

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