An infant female presented from an outside hospital with an abdominal mass, identified as renal teratoma that suffered acute kidney injury (AKI) after surgery. Teratomas are uncommon neoplasms with the kidney being the rarest in location when considering less than 5% of teratomas occur in the abdomen. In this contribution, a case is described of spasm in the left renal artery causing AKI following abdominal surgery for primary mature renal teratoma. Renal artery spasm was detected by duplex ultrasound scan as was resolution of the spasm within 2 days of initial AKI presentation.
PDQ Pediatric Treatment Editorial Board. Childhood extracranial germ cell tumors treatment (PDQ®): health professional version. In: PDQ Cancer Information Summaries. Bethesda, MD: National Cancer Institute (US); 2002;1.
2.
ChuHDengQFLiuSPengBCaoYS. Kidney teratoma: a case report and literature review. Urol Case Rep. 2018;20:83–84.
3.
Idrissi-SerhrouchniKEl-FatemiHEl MadiA, et al. Primary renal teratoma: a rare entity. Diagn Pathol. 2013;8:107.
4.
GameiroJFonsecaJANevesMJorgeSLopesJA. Acute kidney injury in major abdominal surgery: incidence, risk factors, pathogenesis and outcomes. Ann. Intensive Care. 2018;8(1):22.
5.
KimE. Renovascular duplex ultrasound in children: a lost cause?J Am Soc Echocardiogr. 2016;29(8):A26–A27.
UcarAYahyayevAAgayevA, et al. Severe spasm of the renal artery after blunt abdominal trauma simulating end-organ infarction. Case Rep Med. 2010;2010:207152.
8.
OgitaSTokiwaKTakahashiT. Renal artery spasm: a cause of acute renal failure following abdominal surgery for neuroblastoma. J Pediatr Surg. 1989;24(2):215–217. doi:10.1016/s0022-3468(89)80254-4.
9.
YamagiwaIObataKSaitoHWashioM. Intravenous digital subtraction angiography for the evaluation of renal artery blood flow following the removal of a neuroblastoma. Surg Today. 1994;24(11):973–977. doi:10.1007/BF02215809.
10.
RousselADelbetJUlinskiT. Acute renal failure after abdominal trauma: renal artery spasm hypothesis in ischemic infarction in a 12-year-old girl. Case Rep Pediatr. 2020;2020:6548591.
11.
ZacherlJBockSFeussnerH, et al. Periarterial application of papaverine during laparoscopic donor nephrectomy improves early graft function after kidney transplantation in pigs. Surg Endosc. 2004;18:417–420.
12.
SchillerAMPellegrinoPRZuckerIH. The dynamic nature of physiological control of renal blood flow by the renal sympathetic nerves. Auton Neurosci. 2017;204:17–24.
