Renal artery stenting for intimal flap injury in a 2-year-old child after blunt abdominal trauma.
Injury to the renal vasculature is an uncommon occurrence in the setting of blunt abdominal trauma. The authors report the case of a 2-year-old girl who developed occlusion from an intimal flap in a renal artery (grade IV renal injury) after blunt abdominal trauma that was treated with a stent placement. The stent procedure was technically successful in establishing renal artery flow. However, several months after the procedure, the patient developed stenosis within the stent and ultimately required a nephrectomy. To the authors' knowledge, this is the first report of percutaneous management of an acute intimal flap in a renal artery in a 2-year-old.
Hsu
Wesley
W
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mitchell
Sally E
SE
Kim
Hyun S
HS
D000007:Abdominal Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D011379:Prognosis; D012077:Renal Artery / Q000293:injuries* / Q000601:surgery; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery