case_images: PMC11366086_01
case_images: Contrast-enhanced CT scan showing (A and A'): non-enhancement of the right kidney (yellow arrow), with a total thrombosis of the ipsilateral renal artery (red arrow). (B and B'): hepatic laceration.
case_images: 10.1177_2333794X241277597-fig1.jpg
case_images: PMC11366086_01_10.1177_2333794X241277597-fig1.jpg
case_images: fig1-2333794X241277597
case_images: A contrast-enhanced computed tomography (CT) body scan carried out immediately (6 hours post-trauma) revealed non-enhancement of the right kidney with a total thrombosis of the ipsilateral renal artery, localized in juxta-aortic for a length of approximately 1 cm without extravasation of the contrast product; no contrast was seen delineating the right ureter, classified as grade V of the American Association for the Surgery of Trauma (AAST).   A grade III hepatic laceration according to AAST classification, medium abundance hemoperitoneum, left kidney, and other viscera were reported to be normal (Figure 1).
case_images: Renal scintigraphy shows only 3% of right kidney function has been preserved compared to the left kidney.
case_images: 10.1177_2333794X241277597-fig2.jpg
case_images: PMC11366086_01_10.1177_2333794X241277597-fig2.jpg
case_images: fig2-2333794X241277597
case_images: Renal scintigraphy at 1 and 6 months indicated a non-functional right kidney with only 3% differential renal function (Figure 2).