Roussel Aphaia, Delbet Jean-Daniel, Ulinski Tim
Pediatric Nephrology, DMU Origyne, APHP, Hôpital Armand-Trousseau, Paris, France.
Sorbonne University, Paris, France.
Case Rep Pediatr. 2020 Sep 15;2020:6548591. doi: 10.1155/2020/6548591. eCollection 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.
创伤后肾衰竭通常是由已确定的血管病变导致的缺血后肾梗死引起。在我们的患者中，一名12岁女孩在严重腹部创伤后出现急性无尿性肾衰竭，需要进行血液透析，但未发现血管病变或血栓形成。然而，CT扫描和肾活检显示出双侧弥漫性肾缺血坏死的典型病变。主要假说是钝性腹部创伤后发生严重的双侧动脉血管痉挛。该患者仅部分恢复，仍存在慢性肾衰竭。
