{"id":{"repo_id":"rosario","oai_identifier":"oai:repository.urosario.edu.co:10336/14173"},"canonical_url":"https://search.dev.ndltd.org/etd/rosario/oai:repository.urosario.edu.co:10336/14173","repository":{"repo_id":"rosario","name":"Universidad del Rosario","base_url":"https://repository.urosario.edu.co/oai/request"},"display":{"title":"Abordaje para el diagnóstico y manejo en pacientes con trombosis de la arteria renal secundaria al trauma abdominal cerrado : revisión sistemática de la literatura","abstract":"La trombosis de vasos renales secundaria a trauma abdominal cerrado tiene baja incidencia y alta morbilidad, no tiene manejo específico, se revisaron diferentes aproximaciones diagnósticas y tratamientos, el propósito es determinar el abordaje para el diagnóstico y manejo en pacientes para disminuir el riesgo de hipertensión arterial y deterioro de la función renal. MATERIALES Y MÉTODOS Se realizó una revisión sistemática de la literatura y análisis de 22 artículos, con reportes de caso y series de caso, no se cuenta con revisiones sistemáticas ni metanálisis, mediante una búsqueda en términos MeSH y DeCS. En bases de datos PubMed, ScIELO, Embase, Scopus y LILACS aplicando los criterios de inclusión, se utilizaron las guías PRISMA. RESULTADOS Se analizó información de 35 pacientes, 27 hombres, media de edad 28 años. La causa más frecuente accidente de tránsito (n=25), 21 se diagnosticaron con tomografía axial computarizada de abdomen contrastada. Los tratamientos se relacionan con el estado general del paciente y lesiones asociadas, se prefiere la observación en pacientes estables con trauma unilateral, con menor incidencia de secuelas, hipertensión arterial y deterioro de la función renal. CONCLUSIONES La trombosis de vasos renales secundaria a trauma de abdomen cerrado, es una patología de baja incidencia, la Tomografía Axial Computarizada es el patrón de oro para el diagnóstico. El tratamiento depende del compromiso y estabilidad del paciente, se prefiere el manejo conservador en pacientes estables que presentan trauma unilateral. Se requiere de estudios aleatorizados y ensayos clínicos.","abstract_html":"La trombosis de vasos renales secundaria a trauma abdominal cerrado tiene baja incidencia y alta morbilidad, no tiene manejo específico, se revisaron diferentes aproximaciones diagnósticas y tratamientos, el propósito es determinar el abordaje para el diagnóstico y manejo en pacientes para disminuir el riesgo de hipertensión arterial y deterioro de la función renal. MATERIALES Y MÉTODOS Se realizó una revisión sistemática de la literatura y análisis de 22 artículos, con reportes de caso y series de caso, no se cuenta con revisiones sistemáticas ni metanálisis, mediante una búsqueda en términos MeSH y DeCS. En bases de datos PubMed, ScIELO, Embase, Scopus y LILACS aplicando los criterios de inclusión, se utilizaron las guías PRISMA. RESULTADOS Se analizó información de 35 pacientes, 27 hombres, media de edad 28 años. La causa más frecuente accidente de tránsito (n=25), 21 se diagnosticaron con tomografía axial computarizada de abdomen contrastada. Los tratamientos se relacionan con el estado general del paciente y lesiones asociadas, se prefiere la observación en pacientes estables con trauma unilateral, con menor incidencia de secuelas, hipertensión arterial y deterioro de la función renal. CONCLUSIONES La trombosis de vasos renales secundaria a trauma de abdomen cerrado, es una patología de baja incidencia, la Tomografía Axial Computarizada es el patrón de oro para el diagnóstico. El tratamiento depende del compromiso y estabilidad del paciente, se prefiere el manejo conservador en pacientes estables que presentan trauma unilateral. Se requiere de estudios aleatorizados y ensayos clínicos.","abstract_has_math":false,"creators":["Carrillo Rodriguez, Adriana Patricia","Fonseca Buitrago, Carmen Liliana"],"institution":"Universidad del Rosario","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2017,"date_issued":"2017-11-24","date_published":"2017-11-24","updated_at":"2026-07-27T20:46:13Z","subjects":["Traumatismo Abdominal","Lesión no penetrante","Arteria Renal","Trombosis","Riñón","Hipertesión","Varias ramas de la medicina, Cirugía","Renal Artery","Thrombosis","Blunt Trauma","Renal Artery Obstruction","Nonpenetrating Injury","Nonpenetrating Wound","Abdominal injuries","Revascularization","Accidental Falls","Arteriovenous Shunt","High Renal Trauma","Endovascular management","Enfermedades del abdomen"],"languages":["spa"],"rights":["info:eu-repo/semantics/openAccess"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["http://repository.urosario.edu.co/handle/10336/14173"],"render_values":[{"text":"http://repository.urosario.edu.co/handle/10336/14173","href":"http://repository.urosario.edu.co/handle/10336/14173","code":true}]}]},"links":{"outbound_url":"https://doi.org/10.48713/10336_14173","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Carrillo Rodriguez, Adriana Patricia","Fonseca Buitrago, Carmen Liliana"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2017-11-24","2017-12-14T19:54:20Z"]},{"key":"dc:publisher","label":"Institution","values":["Universidad del Rosario","Facultad de Medicina","Especialización en Urología"]},{"key":"dc:type","label":"Dc Type","values":["info:eu-repo/semantics/masterThesis","info:eu-repo/semantics/acceptedVersion"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Traumatismo Abdominal","Lesión no penetrante","Arteria Renal","Trombosis","Riñón","Hipertesión","Varias ramas de la medicina, Cirugía","Renal Artery","Thrombosis","Blunt Trauma","Renal Artery Obstruction","Nonpenetrating Injury","Nonpenetrating Wound","Abdominal injuries","Revascularization","Accidental Falls","Arteriovenous Shunt","High Renal Trauma","Endovascular management","Enfermedades del abdomen"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["spa"]},{"key":"dc:rights","label":"Dc Rights","values":["info:eu-repo/semantics/openAccess"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://doi.org/10.48713/10336_14173","http://repository.urosario.edu.co/handle/10336/14173"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["La trombosis de vasos renales secundaria a trauma abdominal cerrado tiene baja incidencia y alta morbilidad, no tiene manejo específico, se revisaron diferentes aproximaciones diagnósticas y tratamientos, el propósito es determinar el abordaje para el diagnóstico y manejo en pacientes para disminuir el riesgo de hipertensión arterial y deterioro de la función renal. MATERIALES Y MÉTODOS Se realizó una revisión sistemática de la literatura y análisis de 22 artículos, con reportes de caso y series de caso, no se cuenta con revisiones sistemáticas ni metanálisis, mediante una búsqueda en términos MeSH y DeCS. En bases de datos PubMed, ScIELO, Embase, Scopus y LILACS aplicando los criterios de inclusión, se utilizaron las guías PRISMA. RESULTADOS Se analizó información de 35 pacientes, 27 hombres, media de edad 28 años. La causa más frecuente accidente de tránsito (n=25), 21 se diagnosticaron con tomografía axial computarizada de abdomen contrastada. Los tratamientos se relacionan con el estado general del paciente y lesiones asociadas, se prefiere la observación en pacientes estables con trauma unilateral, con menor incidencia de secuelas, hipertensión arterial y deterioro de la función renal. CONCLUSIONES La trombosis de vasos renales secundaria a trauma de abdomen cerrado, es una patología de baja incidencia, la Tomografía Axial Computarizada es el patrón de oro para el diagnóstico. El tratamiento depende del compromiso y estabilidad del paciente, se prefiere el manejo conservador en pacientes estables que presentan trauma unilateral. Se requiere de estudios aleatorizados y ensayos clínicos.","Thrombosis of the renal vessels secondary to closed abdominal trauma represents a challenge. A specific management has not been established, different diagnostic and treatment approaches, the purpose of this study is to determine the approach for diagnosis and management in patients with renal artery thrombosis secondary to closed abdominal trauma to reduce the risk of hypertension and lost of renal function. MATERIALS AND METHODS We performed a systematic review of the literature and subsequent, 22 articles, between case reports and case series, did not have systematic reviews nor meta analysis, through a search in MeSH and DeCS. Articles published since 1972 to the present in the databases PubMed, ScIELO, Embase, Scopus and LILACS. Two reviewers applying the same criteria. The PRISMA guidelines were taken into account. RESULTS We analyzed data from 35, 27 were men and the mean age was 28 years (7-62). The most frequent cause was traffic accident (n=25). 21 were diagnosed with computed tomography of the abdomen with contrast. The different treatments used are related to the general condition of the patient and the presence or absence of other lesions, according to the management, the presence or absence of hypertension was determined. CONCLUSIONS Thrombosis of the renal vessels secondary to trauma of the closed abdomen, has low incidence, Computed Axial Tomography is the gold standard for the timely and accurate diagnosis. Treatment depends on the commitment and stability of the patient, conservative management in stable patients with unilateral trauma is preferred. More studies are needed."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:source","label":"Dc Source","values":["Liberati A, al e. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. Annals of Internal Medicine. 2009; 151(4)","James B. McGeady MBNBMM. Current Epidemiology of Genitourinary Trauma. Urologic Clinics of North America. 2013;(40).","Hosam S. Al-Qudah MRASM. Complications of Renal Trauma. Complications of Renal Trauma. 2006; 33.","Trujillo NV, Ordoñez CGT, Molina3 CAC. Manejo conservador de trombosis de arteria renal secundaria a trauma cerrado de abdomen: Reporte de un caso y revisión de la literatura. urol.colomb. 2010; XIX(1).","R.K. SO·GSS·SD·LBK·M. Isolated Renal Artery Thrombosis because of Blunt Trauma Abdomen: Report of a Case with Review of the Literature. Urologia Internationalis. 2011; 86(2).","Haas CA1 SJ. Traumatic renal artery occlusion: a review of the literature. Techniques in Urology. 1998; 4(1).","Phitsanu Mahawong TS. Bilateral Segmental Renal Artery Thrombosis from Blunt Abdominal Trauma: A Rare Presentation. Urology Journal. 2013; 10(4).","Antonio López Farré ,CM. Platelets: the Physiology of Activation and Inhibition. Revista Española de Cardiología Suplementos. 2013; 13 (2).","Emelia N. Bittenbinder aABR. Advances in renal intervention for trauma. SEMINARS IN VASCULAR SURGERY. 2013; 26.","Nejd F. Alsikafi M, Daniel I. Rosenstein MFF. Staging, Evaluation, and Nonoperative Management of Renal Injuries. Urologic Clinics of North America. 2006; 33.","Jeremy Howick IC(LLPGTGCHALIM. \"The Oxford 2011 Levels of Evidence\". Table of Evidence Working Group. 2011.","Green JPHyS. Manual Cochrane de revisiones sistemáticas de intervenciones. Manual Cochrane. 2011; Versión 5.1.0.","COLOMBIA RD. RESOLUCION Nº 008430 DE 1993. 1993 X;((4 DE OCTUBRE DE 1993)).","Ready B, Wright C, Baltzan B. Bilateral traumatic renal artery thrombosis. CMA JOURNAL. 1973 NOVEMBER; 109(3).","Knorring V, Fyhrquist J, Ahonen F, Lindfors J, von Bonsdorff M. O. RENIN/ANGIOTENSIN SYSTEM IN HYPERTENSION AFTER TRAUMATIC RENAL-ARTERY THROMBOSIS. The lancet. 1976;(1).","LIPSKY H, PETRITSCH P, SCHREYER H. The Role of Angiography in Diagnosis and Management of Blunt Renal Trauma. Management of Blunt Renal Trauma. 1976;(47).","Jawas , Abu-Zidan FM. Management algorithm for complete blunt renal artery occlusion in multiple trauma patients: Case series. International journa l o f surgery. 2008;(6).","Rha SW, Wani SP, Suh SY, Kim EJ, Kim JW, Park CG, et al. Successful Percutaneous Renal Intervention in a Patient With Acute Traumatic Renal Artery Thrombosis. Circulation. 2006;(114).","Gûttler VCA. The diagnosis of bilateral renal artery thrombosis due to circular rupture of the intima following blunt abdominal trauma. Fortschr. Röntgenstr. 1982; 5(136).","M. A. van der Wal WWJAR. Traumatic bilateral renal artery thrombosis: case report and review of the literature. Cardiovascular Surgery. 2003; 11(6).","Lupattelli , Basile , Iozzelli , Quarenghi , Nano , Casana , et al. Thrombolytic therapy followed by stenting for renal artery dissection secondary to blunt trauma. Emergency Radiology. 2005;(11).","Goswami GK, Levin DQ. Traumatic renal artery thrombosis. The American Journal of Surgery. 2001;(181)","Richie JP CS. Traumatic renal artery thrombosis with acute malignant hypertension and hyperreninemia. Urology. 1975;: p. 481-484.","Mathur OSSSGDSBKLK. Isolated renal artery thrombosis because of blunt trauma abdomen: Report of a case with review of the literature. Urologia Internationalis. 2011;: p. 233-238.","Lohse JR RR. Traumatic bilateral renal artery thrombosis: case report and review of literature. The Jpurnal of Urology. 1982;: p. 522-252","instname:Universidad del Rosario","reponame:Repositorio Institucional EdocUR"]},{"key":"dc:title","label":"Title","values":["Abordaje para el diagnóstico y manejo en pacientes con trombosis de la arteria renal secundaria al trauma abdominal cerrado : revisión sistemática de la literatura","Diagnóstico y manejo en pacientes con trombosis de la arterial renal secundaria a trauma abdominal cerrado"]}]}],"canonical_facts":{"dc:creator":["Carrillo Rodriguez, Adriana Patricia","Fonseca Buitrago, Carmen Liliana"],"dc:date":["2017-11-24","2017-12-14T19:54:20Z"],"dc:description":["La trombosis de vasos renales secundaria a trauma abdominal cerrado tiene baja incidencia y alta morbilidad, no tiene manejo específico, se revisaron diferentes aproximaciones diagnósticas y tratamientos, el propósito es determinar el abordaje para el diagnóstico y manejo en pacientes para disminuir el riesgo de hipertensión arterial y deterioro de la función renal. MATERIALES Y MÉTODOS Se realizó una revisión sistemática de la literatura y análisis de 22 artículos, con reportes de caso y series de caso, no se cuenta con revisiones sistemáticas ni metanálisis, mediante una búsqueda en términos MeSH y DeCS. En bases de datos PubMed, ScIELO, Embase, Scopus y LILACS aplicando los criterios de inclusión, se utilizaron las guías PRISMA. RESULTADOS Se analizó información de 35 pacientes, 27 hombres, media de edad 28 años. La causa más frecuente accidente de tránsito (n=25), 21 se diagnosticaron con tomografía axial computarizada de abdomen contrastada. Los tratamientos se relacionan con el estado general del paciente y lesiones asociadas, se prefiere la observación en pacientes estables con trauma unilateral, con menor incidencia de secuelas, hipertensión arterial y deterioro de la función renal. CONCLUSIONES La trombosis de vasos renales secundaria a trauma de abdomen cerrado, es una patología de baja incidencia, la Tomografía Axial Computarizada es el patrón de oro para el diagnóstico. El tratamiento depende del compromiso y estabilidad del paciente, se prefiere el manejo conservador en pacientes estables que presentan trauma unilateral. Se requiere de estudios aleatorizados y ensayos clínicos.","Thrombosis of the renal vessels secondary to closed abdominal trauma represents a challenge. A specific management has not been established, different diagnostic and treatment approaches, the purpose of this study is to determine the approach for diagnosis and management in patients with renal artery thrombosis secondary to closed abdominal trauma to reduce the risk of hypertension and lost of renal function. MATERIALS AND METHODS We performed a systematic review of the literature and subsequent, 22 articles, between case reports and case series, did not have systematic reviews nor meta analysis, through a search in MeSH and DeCS. Articles published since 1972 to the present in the databases PubMed, ScIELO, Embase, Scopus and LILACS. Two reviewers applying the same criteria. The PRISMA guidelines were taken into account. RESULTS We analyzed data from 35, 27 were men and the mean age was 28 years (7-62). The most frequent cause was traffic accident (n=25). 21 were diagnosed with computed tomography of the abdomen with contrast. The different treatments used are related to the general condition of the patient and the presence or absence of other lesions, according to the management, the presence or absence of hypertension was determined. CONCLUSIONS Thrombosis of the renal vessels secondary to trauma of the closed abdomen, has low incidence, Computed Axial Tomography is the gold standard for the timely and accurate diagnosis. Treatment depends on the commitment and stability of the patient, conservative management in stable patients with unilateral trauma is preferred. More studies are needed."],"dc:format":["application/pdf"],"dc:identifier":["https://doi.org/10.48713/10336_14173","http://repository.urosario.edu.co/handle/10336/14173"],"dc:language":["spa"],"dc:publisher":["Universidad del Rosario","Facultad de Medicina","Especialización en Urología"],"dc:rights":["info:eu-repo/semantics/openAccess"],"dc:source":["Liberati A, al e. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. Annals of Internal Medicine. 2009; 151(4)","James B. McGeady MBNBMM. Current Epidemiology of Genitourinary Trauma. Urologic Clinics of North America. 2013;(40).","Hosam S. Al-Qudah MRASM. Complications of Renal Trauma. Complications of Renal Trauma. 2006; 33.","Trujillo NV, Ordoñez CGT, Molina3 CAC. Manejo conservador de trombosis de arteria renal secundaria a trauma cerrado de abdomen: Reporte de un caso y revisión de la literatura. urol.colomb. 2010; XIX(1).","R.K. SO·GSS·SD·LBK·M. Isolated Renal Artery Thrombosis because of Blunt Trauma Abdomen: Report of a Case with Review of the Literature. Urologia Internationalis. 2011; 86(2).","Haas CA1 SJ. Traumatic renal artery occlusion: a review of the literature. Techniques in Urology. 1998; 4(1).","Phitsanu Mahawong TS. Bilateral Segmental Renal Artery Thrombosis from Blunt Abdominal Trauma: A Rare Presentation. Urology Journal. 2013; 10(4).","Antonio López Farré ,CM. Platelets: the Physiology of Activation and Inhibition. Revista Española de Cardiología Suplementos. 2013; 13 (2).","Emelia N. Bittenbinder aABR. Advances in renal intervention for trauma. SEMINARS IN VASCULAR SURGERY. 2013; 26.","Nejd F. Alsikafi M, Daniel I. Rosenstein MFF. Staging, Evaluation, and Nonoperative Management of Renal Injuries. Urologic Clinics of North America. 2006; 33.","Jeremy Howick IC(LLPGTGCHALIM. \"The Oxford 2011 Levels of Evidence\". Table of Evidence Working Group. 2011.","Green JPHyS. Manual Cochrane de revisiones sistemáticas de intervenciones. Manual Cochrane. 2011; Versión 5.1.0.","COLOMBIA RD. RESOLUCION Nº 008430 DE 1993. 1993 X;((4 DE OCTUBRE DE 1993)).","Ready B, Wright C, Baltzan B. Bilateral traumatic renal artery thrombosis. CMA JOURNAL. 1973 NOVEMBER; 109(3).","Knorring V, Fyhrquist J, Ahonen F, Lindfors J, von Bonsdorff M. O. RENIN/ANGIOTENSIN SYSTEM IN HYPERTENSION AFTER TRAUMATIC RENAL-ARTERY THROMBOSIS. The lancet. 1976;(1).","LIPSKY H, PETRITSCH P, SCHREYER H. The Role of Angiography in Diagnosis and Management of Blunt Renal Trauma. Management of Blunt Renal Trauma. 1976;(47).","Jawas , Abu-Zidan FM. Management algorithm for complete blunt renal artery occlusion in multiple trauma patients: Case series. International journa l o f surgery. 2008;(6).","Rha SW, Wani SP, Suh SY, Kim EJ, Kim JW, Park CG, et al. Successful Percutaneous Renal Intervention in a Patient With Acute Traumatic Renal Artery Thrombosis. Circulation. 2006;(114).","Gûttler VCA. The diagnosis of bilateral renal artery thrombosis due to circular rupture of the intima following blunt abdominal trauma. Fortschr. Röntgenstr. 1982; 5(136).","M. A. van der Wal WWJAR. Traumatic bilateral renal artery thrombosis: case report and review of the literature. Cardiovascular Surgery. 2003; 11(6).","Lupattelli , Basile , Iozzelli , Quarenghi , Nano , Casana , et al. Thrombolytic therapy followed by stenting for renal artery dissection secondary to blunt trauma. Emergency Radiology. 2005;(11).","Goswami GK, Levin DQ. Traumatic renal artery thrombosis. The American Journal of Surgery. 2001;(181)","Richie JP CS. Traumatic renal artery thrombosis with acute malignant hypertension and hyperreninemia. Urology. 1975;: p. 481-484.","Mathur OSSSGDSBKLK. Isolated renal artery thrombosis because of blunt trauma abdomen: Report of a case with review of the literature. Urologia Internationalis. 2011;: p. 233-238.","Lohse JR RR. Traumatic bilateral renal artery thrombosis: case report and review of literature. The Jpurnal of Urology. 1982;: p. 522-252","instname:Universidad del Rosario","reponame:Repositorio Institucional EdocUR"],"dc:subject":["Traumatismo Abdominal","Lesión no penetrante","Arteria Renal","Trombosis","Riñón","Hipertesión","Varias ramas de la medicina, Cirugía","Renal Artery","Thrombosis","Blunt Trauma","Renal Artery Obstruction","Nonpenetrating Injury","Nonpenetrating Wound","Abdominal injuries","Revascularization","Accidental Falls","Arteriovenous Shunt","High Renal Trauma","Endovascular management","Enfermedades del abdomen"],"dc:title":["Abordaje para el diagnóstico y manejo en pacientes con trombosis de la arteria renal secundaria al trauma abdominal cerrado : revisión sistemática de la literatura","Diagnóstico y manejo en pacientes con trombosis de la arterial renal secundaria a trauma abdominal cerrado"],"dc:type":["info:eu-repo/semantics/masterThesis","info:eu-repo/semantics/acceptedVersion"]},"updated_at":"2026-07-27T20:46:13Z"}