EURORAD ESR

Case 14944

Closed Abdominal trauma by bull's horn

Author(s)
Jenny S. Cardenas H, Jelena Vucetic, Julio C. Rivera, Rebeca Miron, Gonzalo Sanchez J.

General University Hospital of Valencia, Radiology Department; Avenida Tres Cruces 2 46014 Valencia, Spain; Email: jennysorayacardenas@gmail.com
 
Patient
male, 50 year(s)
 
 
  • Figure 1
    Traumatic abdominal hernia with soft tissue emphysema
     

    Herniation between the lateral border of the rectus abdominis and left oblique muscles (white arrow) with small intestine loops inside(yellow arrow). Herniated mesenteric tissue and extraluminal air in the eventration...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;

    In addition, it has fluid collected in the peritoneal cavity and inside the hernia (orange arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Herniation between the lateral border of the rectus abdominis and left oblique muscles (white arrow) with small intestine loops inside(yellow arrow). Herniated mesenteric tissue and extraluminal air in the eventration...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 2
    Suspected Ureteral Injury

    There is trabeculation of the retroperitoneal fat with fluid collection adjacent to the psoas iliacus and in the course of the left ureter, findings suspicious of the ureteral injury (white arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 3
    Ureteral injury
     

    Ureteral injury was suspected, and late contrast study is performed, revealing the laceration of the middle third of the left ureter (yellow arrow) with extravasion of excreted contrast through the herniation (red...

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Ureteral injury was suspected, and late contrast study is performed, revealing the laceration of the middle third of the left ureter (yellow arrow) with extravasion of excreted contrast through the herniation (red...

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 4
    Ureteral injury
     

    Complete ureteral laceration with extravasation of contrast (red arrows).

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;

    3D reconstruction shows complete ureteral laceration (red circle).

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
Herniation between the lateral border of the rectus abdominis and left oblique muscles (white arrow) with small intestine loops inside(yellow arrow). Herniated mesenteric tissue and extraluminal air in the eventration margin (blue arrow).
 
In addition, it has fluid collected in the peritoneal cavity and inside the hernia (orange arrows).
 
Herniation between the lateral border of the rectus abdominis and left oblique muscles (white arrow) with small intestine loops inside(yellow arrow). Herniated mesenteric tissue and extraluminal air in the eventration margin (blue arrow).
 
There is trabeculation of the retroperitoneal fat with fluid collection adjacent to the psoas iliacus and in the course of the left ureter, findings suspicious of the ureteral injury (white arrow).
 
Ureteral injury was suspected, and late contrast study is performed, revealing the laceration of the middle third of the left ureter (yellow arrow) with extravasion of excreted contrast through the herniation (red arrow).
 
Ureteral injury was suspected, and late contrast study is performed, revealing the laceration of the middle third of the left ureter (yellow arrow) with extravasion of excreted contrast through the herniation (red arrow).
 
Complete ureteral laceration with extravasation of contrast (red arrows).
 
3D reconstruction shows complete ureteral laceration (red circle).
 
 
 
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