Renal vascular pedicle injury

Last revised by Dr David Luong on 17 Jun 2021

Renal vascular pedicle injury  is a severe form of renal trauma, which if not recognized and treated expediently, can lead to the loss of the kidney

Radiographic features

CT

Contrast enhanced CT is the Imaging modality of choice. On CT it is recognized as a non-enhancing kidney. Perirenal hematoma is optional and depends on the cause of injury. If the pedicle is avulsed then there will be a large hematoma, whereas in the case of dissection no hematoma need be seen.

A devascularised kidney is consistent with a grade V renal injury.

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Cases and figures

  • Case 1: left kidney
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