Management of Renal Artery Occlusion Related to Multiple Trauma in Children: Two Case Reports.
We report 2 successful treatment cases of renal artery occlusion (RAO) related to multiple trauma. A 4-year-old boy was diagnosed with right RAO and liver laceration after a traffic accident. Surgical thrombectomy and revascularization were performed, but the lacerated liver was not sutured. The lacerated liver was surgically repaired 6 days post operation because of delayed bleeding. Thirteen percent of the patient's right kidney function was conserved. Another 7-year-old boy was compressed by an agitator. Renal scintigraphy showed that the right kidney was nonfunctional. The patient underwent conservative observation without any complication. In stable patients with multiple trauma, RAO should be diagnosed as soon as possible.
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Guofeng
G
Xu
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Lei
L
He
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiaoliang
X
Fang
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Dapeng
D
Jiang
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Longhu
L
Jin
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Houwei
H
Lin
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Maosheng
M
Xu
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yeming
Y
Wu
Pediatric Surgery, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: ghongquan@hotmail.com.
Hongquan
H
Geng
D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D019468:Disease Management; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000150:complications* / Q000175:diagnosis; D011877:Radionuclide Imaging; D012077:Renal Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis