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Renal laceration

Case contributed by Dr Jeremy Jones

Presentation:

Restrained child in high-speed RTC.

Patient Data:

Age: 14 year old
Gender: Male
Race: Caucasian
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.

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