Global Pediatric Health (Aug 2024)

Traumatic Renal Artery Occlusion in Children: A Case Report

  • Yacine Zouirech MD,
  • Abir Manni MD,
  • Badr Rouijel MD,
  • Loubna Aqqaoui PhD,
  • Hicham Zerhouni PhD,
  • Houda Oubejja PhD,
  • Mounir Erraji PhD,
  • Fouad Ettayebi PhD

DOI
https://doi.org/10.1177/2333794x241277597
Journal volume & issue
Vol. 11

Abstract

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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.