Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl

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...

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Main Authors: Aphaia Roussel, Jean-Daniel Delbet, Tim Ulinski
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2020/6548591
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author Aphaia Roussel
Jean-Daniel Delbet
Tim Ulinski
author_facet Aphaia Roussel
Jean-Daniel Delbet
Tim Ulinski
author_sort Aphaia Roussel
collection DOAJ
description 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.
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series Case Reports in Pediatrics
spelling doaj-art-bf64e45adf8640c5b2181122539dc4bf2025-02-03T06:43:45ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/65485916548591Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old GirlAphaia Roussel0Jean-Daniel Delbet1Tim Ulinski2Pediatric Nephrology, DMU Origyne, APHP, Hôpital Armand-Trousseau, Paris, FrancePediatric Nephrology, DMU Origyne, APHP, Hôpital Armand-Trousseau, Paris, FrancePediatric Nephrology, DMU Origyne, APHP, Hôpital Armand-Trousseau, Paris, FrancePosttraumatic 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.http://dx.doi.org/10.1155/2020/6548591
spellingShingle Aphaia Roussel
Jean-Daniel Delbet
Tim Ulinski
Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl
Case Reports in Pediatrics
title Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl
title_full Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl
title_fullStr Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl
title_full_unstemmed Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl
title_short Acute Renal Failure after Abdominal Trauma: Renal Artery Spasm Hypothesis in Ischemic Infarction in a 12-Year-Old Girl
title_sort acute renal failure after abdominal trauma renal artery spasm hypothesis in ischemic infarction in a 12 year old girl
url http://dx.doi.org/10.1155/2020/6548591
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AT timulinski acuterenalfailureafterabdominaltraumarenalarteryspasmhypothesisinischemicinfarctionina12yearoldgirl