DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.098

Pages: 2596-2599

Background: Traumatic renal artery occlusion is a rare but severe complication of blunt abdominal trauma. Diagnosis is challenging due to non-specific clinical signs, often masked in polytrauma patients. The pivotal role of computed tomography (CT) angiography in enabling rapid and accurate diagnosis is well-established, though optimal management remains controversial, balanced between revascularization and conservative care. Case Report: A 6-year-old female presented after high-energy blunt thoraco-abdominal trauma as a pedestrian struck by a motorcycle. Initial contrast-enhanced CT revealed two major injuries: a Grade IV hepatic laceration and a thrombotic occlusion of the right renal artery, evidenced by a lack of arterial opacification and renal parenchymal enhancement. Given the patient's stability and a normal contralateral kidney, a non-operative strategy was adopted. Follow-up imaging confirmed complete right renal infarction with features of cortical necrosis (AAST Grade V injury) and showed favorable evolution of the hepatic lesion. Discussion and Conclusion: This case underscores the critical role of multiphasic CT angiography as the primary imaging modality for the definitive diagnosis and comprehensive staging of traumatic renal vascular injuries. The radiologist's interpretation is essen