Traumatic renal artery occlusion in a patient with a solitary kidney: case report of treatment with endovascular stent and review of the literature.
Renal artery occlusion after blunt trauma is a rare occurrence, and the optimal treatment for this condition has not been established. To our knowledge, endovascular repair for blunt renal artery occlusion in a solitary kidney has not been described in the literature. This case report describes a 42-year-old woman with a solitary left kidney presenting with total occlusion of the left renal artery after a significant crush injury. She was successfully treated by percutaneous placement of an endovascular stent. Postprocedure, the patient developed acute renal failure requiring temporary dialysis. At follow-up 4 months later, the patient has normal urinary output and a normal creatinine.
Dowling
Jason M
JM
Orlando Regional Medical Center, Orlando, Florida, USA.
Lube
Matthew W
MW
Smith
Chadwick P
CP
Andriole
Joseph
J
D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology; D007579:Jejunal Diseases / Q000209:etiology; D007668:Kidney / Q000002:abnormalities*; D012039:Regional Blood Flow; D012077:Renal Artery / Q000502:physiology; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006435:Renal Dialysis; D015607:Stents; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications*