Renal artery embolization in a child with delayed hemodynamic instability from penetrating knife wound

M Barras; E Pearson; I Cousin; C Le Rouzic; M Thepaut; J-C Gentric; J-M Roue; S Yevich; P de Vries

doi:10.1016/j.arcped.2018.05.007

Renal artery embolization in a child with delayed hemodynamic instability from penetrating knife wound

Arch Pediatr. 2018 Jun 14:S0929-693X(18)30113-1. doi: 10.1016/j.arcped.2018.05.007. Online ahead of print.

Authors

M Barras¹, E Pearson², I Cousin³, C Le Rouzic³, M Thepaut³, J-C Gentric², J-M Roue⁴, S Yevich⁵, P de Vries³

Affiliations

¹ Pediatric surgery department, CHU de Brest, 2, avenue Foch, 29609 Brest cedex, France. Electronic address: marc.barras@chu-brest.fr.
² Interventional Radiology department, CHU de Brest, boulevard Tanguy-Prigent, 29000 Brest, France.
³ Pediatric surgery department, CHU de Brest, 2, avenue Foch, 29609 Brest cedex, France.
⁴ Pediatric department, CHU de Brest, 2, avenue Foch, 29609 Brest cedex, France.
⁵ Gustave Roussy Cancer Campus Grand Paris, Interventional Radiology department, 114, rue Edouard-Vaillant, 94805 Villejuif, France.

PMID: 29909939
DOI: 10.1016/j.arcped.2018.05.007

Abstract

Penetrating laceration injury in the pediatric population may present as an acute or delayed life-threatening injury. Although emergent intra-arterial embolization is commonly utilized in adults, few cases have been reported for children. Surgical treatment for severe renal laceration injuries may require complete nephrectomy; an unfortunate outcome for a pediatric patient if a renal-preserving alternative is feasible. We present a case of penetrating renal laceration in a 10-year-old boy treated with intra-arterial embolization of the lacerated dominant renal artery and subsequent renal perfusion by an uninjured accessory renal artery allowing for renal preservation.

Keywords: Embolization; Laceration; Pediatric; Renal; Trauma.