Abstract
Blunt injury to the renal artery occurs infrequently. A 61-year-old male had an approximately 8 m fall in his factory workplace and presented at our emergency room. Simple X-ray and computed tomography (CT) revealed mild contusion of the lung and liver, right rib fracture, right radius fracture, pelvic fracture and right femur fracture. Enhanced CT scan showed a lack of contrast in the right kidney. Angiography revealed that the main right renal artery was occluded. A laparotomy was performed for revascularization of the right renal artery. We had to remove the patient's right kidney, however, because of advanced congestion. Pneumonia occurred and ventilatory support was needed. He was discharged 100 days after the accident. Our review of the literature found that nonoperative management should be considered in patients with unilateral renal artery injury who are hemodynamically stable.
