Traumatic renal and splenic injury

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Blunt trauma to the left side of the abdomen.

Patient Data

Age: 50 years
Gender: Male
  • Splenic laceration, peri-splenic and left peri-nephric hematoma with hemoperitoneum are noted. On renal excretory phase, there is mild irregularity at left renal pelvis and UPJ with tiny extravasation of contrast in keeping with a left renal collecting system injury.

Case Discussion

Traumatic renal (grade IV) and splenic (grade II) injury.

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