EURORAD ESR

Case 9933

Acute abdomen in a patient on haemodialysis

Author(s)
Tonolini Massimo, MD.

"Luigi Sacco" University Hospital,
Radiology Department;
Via G.B. Grassi 74 20157 Milan, Italy;
Email:mtonolini@sirm.org
 
Patient
female, 77 year(s)
 
 
  • Figure 1
    Basal and contrast-enhanced CT
     

    Unenhanced images (a,b) detect hyperattenuating (65 HU) collection (*) consistent with haematoma abutting the compressed right kidney, bloody effusion in the ipsilateral perirenal and posterior pararenal...

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Complications; Special Focus: Haemorrhage;

    Unenhanced images (a,b) detect hyperattenuating (65 HU) collection (*) consistent with haematoma abutting the compressed right kidney, bloody effusion in the ipsilateral perirenal and posterior pararenal...

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Complications; Special Focus: Haemorrhage;

    Arterial-phase image (c) and coronal angiographic MIP reformation (d) confirm right kidney compressed by 5cm subcapsular haematoma, without enhancing masses and arterial abnormalities. Focus of contrast extravasation...

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Complications; Special Focus: Haemorrhage;

    Arterial-phase image (c) and coronal angiographic MIP reformation (d) confirm right kidney compressed by 5cm subcapsular haematoma, without enhancing masses and arterial abnormalities. Focus of contrast extravasation...

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Complications; Special Focus: Haemorrhage;

    Venous phase axial (e) and coronal (f) CT images show small kidneys with cortical cysts, reduced thickness and contrast perfusion. Subcapsular renal hematoma is characterized by parenchymal compression and scalloping,...

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Complications; Special Focus: Haemorrhage;

    Venous phase axial (e) and coronal (f) CT images show small kidneys with cortical cysts, reduced thickness and contrast perfusion. Subcapsular renal hematoma is characterized by parenchymal compression and scalloping,...

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Procedure: Complications; Special Focus: Haemorrhage;
     
     
Unenhanced images (a,b) detect hyperattenuating (65 HU) collection (*) consistent with haematoma abutting the compressed right kidney, bloody effusion in the ipsilateral perirenal and posterior pararenal retroperitoneal spaces.
 
Unenhanced images (a,b) detect hyperattenuating (65 HU) collection (*) consistent with haematoma abutting the compressed right kidney, bloody effusion in the ipsilateral perirenal and posterior pararenal retroperitoneal spaces.
 
Arterial-phase image (c) and coronal angiographic MIP reformation (d) confirm right kidney compressed by 5cm subcapsular haematoma, without enhancing masses and arterial abnormalities. Focus of contrast extravasation indicates active bleeding (arrowhead).
 
Arterial-phase image (c) and coronal angiographic MIP reformation (d) confirm right kidney compressed by 5cm subcapsular haematoma, without enhancing masses and arterial abnormalities. Focus of contrast extravasation indicates active bleeding (arrowhead).
 
Venous phase axial (e) and coronal (f) CT images show small kidneys with cortical cysts, reduced thickness and contrast perfusion. Subcapsular renal hematoma is characterized by parenchymal compression and scalloping, with focal active bleeding (arrowhead).
 
Venous phase axial (e) and coronal (f) CT images show small kidneys with cortical cysts, reduced thickness and contrast perfusion. Subcapsular renal hematoma is characterized by parenchymal compression and scalloping, with focal active bleeding (arrowhead).
 
 
 
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