Bilateral traumatic renal artery rupture: emergency surgical repair and long-term evolution

In one case of bilateral traumatic renal artery rupture, the role of clinical and radiographic explorations is discussed to reduce the duration of renal ischemia. The diagnosis of bilateral traumatic renal artery rupture requires the performance of pyelography if the patient is oliguric or exhibits microscopic hematuria, or of conventional aortography if there is no renal secretion. Renal artery repair must be done as soon as possible, but a review of the literature shows that delay in treatment is not rare. Everything must be done to reduce this delay in order to improve renal function after surgery.