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CT scan with contrast showing nonenhancing left kidney consistent with left renal artery injury.
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Abdominal contrasted CT identified a left renal artery injury and a nonenhancing ischemic left kidney but no other abdominal organ injuries (Figure 1).
Surgical photography demonstrating renal parenchymal perfusion after reconstruction and anastomosis.
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The left kidney was adequately perfused postreconstruction of the left renal artery (Figure 2).
Follow-up nuclear scan (11 mCi technetium-99 m MAG3) demonstrating right kidney perfusion dominance at 6 months postsurgery.
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Outpatient nuclear medicine renal scan indicated partial preservation of left renal function with a shrunken left kidney, and 16.3% (Figure 3) of split renal function attributed to the left kidney.