Zouirech Yacine, Manni Abir, Rouijel Badr, Aqqaoui Loubna, Zerhouni Hicham, Oubejja Houda, Erraji Mounir, Ettayebi Fouad
Pediatric Surgical Emergency Department, Children's Hospital of Rabat, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
Glob Pediatr Health. 2024 Aug 30;11:2333794X241277597. doi: 10.1177/2333794X241277597. eCollection 2024.
Blunt trauma is a major cause of death in children, with renal arterial injuries occurring in less than 1% of cases. Traumatic renal artery occlusion (RAO) in children is rare and results in the loss of ipsilateral renal perfusion. Clinical signs are often nonspecific, and there is a lack of information on the exact incidence and management outcomes of these rare cases in children. We report a case of unilateral RAO in a 13-year-old boy with polytrauma. He was diagnosed with right RAO and hepatic laceration after a fall. A conservative approach yielded favorable outcomes despite the loss of function in the right kidney. In stable polytrauma patients, prompt diagnosis of RAO is crucial for treatment optimization and potential kidney salvage.
钝性创伤是儿童死亡的主要原因,肾动脉损伤在不到1%的病例中发生。儿童创伤性肾动脉闭塞(RAO)很少见,会导致同侧肾脏灌注丧失。临床症状通常不具特异性,且缺乏关于这些儿童罕见病例的确切发病率和治疗结果的信息。我们报告一例13岁多发伤男孩的单侧RAO病例。他在跌倒后被诊断为右RAO和肝裂伤。尽管右肾功能丧失,但保守治疗取得了良好效果。在稳定的多发伤患者中,及时诊断RAO对于优化治疗和挽救肾脏至关重要。