Polytrauma: SMA dissection and renal vein injury with haemoatoma

Case contributed by Dr Jeremy Jones

Presentation

Joyriding on motorcycle. No helmet. Hit wall and landed 10 feet down a ditch. Reduced GCS.

Patient Data

Age: 15
Gender: Male

Polytrauma with multiple abdominal injuries:

  • huge right retroperitoneal haematoma - no active haemorrhage
  • compression of IVC and right renal vein - concern for right renal vein injury
  • SMA dissection with hypoperfused spleen
  • large complex right pelvic and sacral fracture
  • high density at the base of penis concerning for cavernosal haematoma
  • multiple transverse process fractures
  • multiple rib fractures
  • no chest injury
  • no intracranial injury

Case Discussion

Multiple abdominal injuries in a young male motorcycle injured patient.

Patient was treated conservatively with close attention paid to blood pressure control. No operative or interventional treatment was required aside from orthopaedic external fixation of the pelvis.

PlayAdd to Share

Case information

rID: 45827
Case created: 9th Jun 2016
Last edited: 13th Sep 2016
System: Paediatrics
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.