Kidney Salvage with Renal Artery Reconstruction after Blunt Traumatic Injury

Author:

Jackson David G.1,Abreu Phillipe2,Moutinho Manuel Anthony3,Marttos Antonio3,Burke George W.4,Namias Nicholas3,Ciancio Gaetano4ORCID

Affiliation:

1. Department of Surgery, University of Miami Miller School of Medicine, USA

2. Multi-Organ Transplant Program, University of Toronto, Canada

3. Ryder Trauma Center, Jackson Memorial Hospital, University of Miami Miller School of Medicine, USA

4. Miami Transplant Institute, Jackson Memorial Hospital, University of Miami Miller School of Medicine, USA

Abstract

Renal artery injury from blunt abdominal trauma is a rare condition that is typically managed nonoperatively in hemodynamically stable patients. Revascularization can be achieved by stenting or surgical reconstruction of the renal artery. All attempts at revascularization should minimize warm ischemic time. Here, we discuss a patient postmotor vehicle accident who presented to Ryder Trauma Center with intra-abdominal bleeding. He underwent emergency exploratory laparotomy with splenectomy and abdominal packing. Postoperative CT scan revealed a contrast nonenhancing left kidney. The patient then returned to the operating room and underwent in situ renal artery reconstruction after >4 hours of warm ischemia. The patient survived a 2-month hospital course and was discharged home after prolonged in-hospital stay and intensive care treatment. Nuclear medicine scan showed scarring and atrophy of the reattached kidney with 16.3% of overall function attributed to the affected kidney. This case shows that patients with renal artery injury can be managed operatively with arterial reconstruction. Reducing warm ischemic time is critical in preserving kidney function.

Publisher

Hindawi Limited

Subject

General Medicine

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