Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl.
Aphaia RousselJean-Daniel DelbetTim UlinskiPublished in: Case reports in pediatrics (2020)
Posttraumatic renal failure is often due to postischemic renal infarction, caused by identified vascular lesions. In our patient, a 12-year-old girl with acute anuric renal failure requiring hemodialysis after severe abdominal trauma, no vascular lesion or thrombosis was identified. Nevertheless, CT-scan and renal biopsy showed typical lesions of diffuse bilateral renal ischemic necrosis. The main hypothesis is a severe bilateral arterial vasospasm after a blunt abdominal trauma. The patient recovered only partially with persisting chronic renal failure.
Keyphrases
- case report
- drug induced
- liver failure
- trauma patients
- computed tomography
- respiratory failure
- early onset
- subarachnoid hemorrhage
- cerebral ischemia
- pulmonary embolism
- ischemia reperfusion injury
- chronic kidney disease
- peritoneal dialysis
- magnetic resonance
- hepatitis b virus
- contrast enhanced
- end stage renal disease
- ultrasound guided