Presentation
Hematuria and abdominal pain.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
![](https://prod-images-static.radiopaedia.org/images/4616684/6c02c09743fbebf703a3d2131123ce_big_gallery.jpg)
Laceration of the left kidney appearing as linear or wedge-shaped opacification defects, with perirenal hematoma.
Case Discussion
Traumatic renal laceration (grade II-III of AAST) appearing as linear or wedge-shaped opacification defects that are particularly evident in the nephrographic phase, may have a depth < 1 cm (grade II) or > 1 cm (grade III) without involvement of the collecting system; in most cases there is associated perirenal hematoma, a hyperattenuating fluid in the perinephric fat.