Renal laceration

Case contributed by Dr Jeremy Jones

Presentation

Restrained child in high-speed RTC.

Patient Data

Age: 14 year old
Gender: Male
Modality: CT

There is severe laceration to the left kidney with a large fluid-density collection around the kidney.

Modality: CT

After 10 minutes delay, repeat imaging of the abdomen and pelvis confirms that the left perirenal collection consists of a haematoma and urinoma with active urine-leak from the left collecting system.

Case Discussion:

Severe abdominal trauma with a renal laceration that extends to the collecting system with free urine-leak. This demonstrates the importance of performing delayed imaging in patients with severe solid organ trauma or in whom there is suspicion for active haemorrhage.

PlayAdd to Share
Case
Full screen case
Case with hidden diagnosis
Full screen case with hidden diagnosis

Case Information:

rID: 22228
Diagnostic certainty: Certain
Tag: trauma
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert_accept

Error Unable to process the form. Check for errors and try again.

Alert_accept Thank you for updating your details.