A case of renal artery thrombosis in adolescence: when one kidney does not light up
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Spontaneous renal arterial thrombosis is rare in the pediatric population and may present as an acute abdomen, making it a potential diagnostic pitfall for pediatricians or emergency physicians. The authors present a 14-year-old female who presented to the emergency department with sudden onset abdominal pain and unexpectedly showed a right renal artery occlusion on contrast-enhanced computerized tomography scan. Subsequently, renal artery thrombosis was confirmed on a catheter angiography and treated with thrombolysis, thrombectomy, and angioplasty. This case underscores the importance of maintaining a broad differential diagnosis and prompt implementation of imaging studies when evaluating pediatric patients presenting with acute abdomen.
Abstract
Spontaneous renal arterial thrombosis is rare in the pediatric population and may present as an acute abdomen, making it a potential diagnostic pitfall for pediatricians or emergency physicians. The authors present a 14-year-old female who presented to the emergency department with sudden onset abdominal pain and unexpectedly showed a right renal artery occlusion on contrast-enhanced computerized tomography scan. Subsequently, renal artery thrombosis was confirmed on a catheter angiography and treated with thrombolysis, thrombectomy, and angioplasty. This case underscores the importance of maintaining a broad differential diagnosis and prompt implementation of imaging studies when evaluating pediatric patients presenting with acute abdomen.