Laparoscopic nephrectomy for complete renal infarction due to post traumatic renal artery thrombosis.
We report a case of post traumatic thrombosis of the renal artery with renal infarction and associated liver injury. Conservative treatment was initially planned in consideration of the delayed diagnosis (> 3 hours), but the patient subsequently developed hypertension not controllable with anti-hypertensive drugs. He underwent laparoscopy with nephrectomy and liver injury repair. Hypertension resolved after nephrectomy without further medical treatment. Laparoscopic nephrectomy is not a standard procedure for renal trauma but it could be an option in selected patients.
Gidaro
Stefano
S
Department of Surgical Sciences, University G. D'Annunzio Chieti-Pescara, Italy. s.gidaro@libero.it
Schips
Luigi
L
Cindolo
Luca
L
Ziguener
Richard
R
D000063:Accidents, Traffic; D000328:Adult; D006801:Humans; D007238:Infarction / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D007668:Kidney / Q000473:pathology; D007674:Kidney Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D009049:Motorcycles; D009392:Nephrectomy; D012077:Renal Artery / Q000293:injuries*; D012079:Renal Circulation / Q000502:physiology; D013927:Thrombosis / Q000150:complications*; D014057:Tomography, X-Ray Computed