EURORAD ESR

Case 15410

Shattered kidney after blunt abdominal trauma

Author(s)
Oliveira, João André1; França, Manuela1

Centro Hospitalar Porto; Portugal 4099-001 Porto, Portugal; Email:joao_a_oliveira@hotmail.com
 
Patient
male, 32 year(s)
 
 
  • Figure 1
    Admission FAST (renal injury)

    US image of the right flank with signs of extensive right kidney laceration (arrow) and large retroperitoneal haematoma (asterisk).

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 2
    Admission FAST (liver injury)

    US image at the right hypocondrium showing heterogenous echoestruture of the liver parenchyma (asterisk) with peri-hepatic fluid (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 3
    Admission CT (liver injury)

    Contrast-enhanced CT axial image (portal venous phase) with extensive laceration of the right hepatic parenchyma (asterisk) with peri-hepatic fluid (arrow).

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 4
    Admission CT (renal injury)

    Contrast-enhanced CT axial image with hepatic parenchymal laceration (asterisk), perirenal haematoma (arrows) and complete renal laceration with 2 renal fragments mantaining vascular perfusion (arrowheads).

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 5
    Admission coronal CT (renal injury)

    Contrast-enhanced CT coronal image revealing massive retroperitoneal haematoma (arrows) dislodging the inferior vena cava (arrowhead).

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 6
    Admission sagittal CT (renal injury)

    Contrast-enhanced CT sagital image revealing extended laceration of the right kidney with separation of upper and inferior poles with preserved perfusion of both kidney fragments (arrows).

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 7
    Admission coronal CT (active bleeding)

    Contrast-enhanced CT coronal image (arterial phase) revealing contrast extravasation sites (arrows) in relation with active bleeding.

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
US image of the right flank with signs of extensive right kidney laceration (arrow) and large retroperitoneal haematoma (asterisk).
 
US image at the right hypocondrium showing heterogenous echoestruture of the liver parenchyma (asterisk) with peri-hepatic fluid (arrow).
 
Contrast-enhanced CT axial image (portal venous phase) with extensive laceration of the right hepatic parenchyma (asterisk) with peri-hepatic fluid (arrow).
 
Contrast-enhanced CT axial image with hepatic parenchymal laceration (asterisk), perirenal haematoma (arrows) and complete renal laceration with 2 renal fragments mantaining vascular perfusion (arrowheads).
 
Contrast-enhanced CT coronal image revealing massive retroperitoneal haematoma (arrows) dislodging the inferior vena cava (arrowhead).
 
Contrast-enhanced CT sagital image revealing extended laceration of the right kidney with separation of upper and inferior poles with preserved perfusion of both kidney fragments (arrows).
 
Contrast-enhanced CT coronal image (arterial phase) revealing contrast extravasation sites (arrows) in relation with active bleeding.
 
 
 
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