3 years ago

Dissection traumatique de l’artère rénale gauche chez un adulte jeune

M. Zoulati, A. Slaoui, T. Bakkali, N. Aghoutane, Y. Lyazidi, H. Chtata, A. Janane, A. Ameur, M. Taberkant

Publication date: July 2018

Source: JMV-Journal de Médecine Vasculaire, Volume 43, Issue 4

Author(s): M. Zoulati, A. Slaoui, T. Bakkali, N. Aghoutane, Y. Lyazidi, H. Chtata, A. Janane, A. Ameur, M. Taberkant


La dissection traumatique du pédicule rénal est rarement rapportée après traumatisme fermé. Les signes cliniques sont pauvres et inconstamment rapportés. Le diagnostic repose sur des données d’imagerie par angioscanner et l’artériographie reste utile lorsqu’un geste de revascularisation est envisagé. Nous rapportons ici, le cas d’une dissection traumatique avec thrombose d’un pédicule rénal à localisation juxta-aortique imposant une simple surveillance en réanimation. Le diagnostic tardif et la localisation juxta-aortique n’ont pas permis un geste endovasculaire.


Blunt trauma rarely causes renal pedicle dissection. Clinical signs are minimal and inconsistently reported. The diagnosis is based on computed tomographic angiography; arteriography is still useful when revascularization is considered. We report here a case of traumatic dissection with thrombosis of a juxta-aortic renal pedicle monitored in the intensive care unit. An endovascular procedure could not be proposed because of the juxta-aortic localization.

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