Polytrauma with left renal devascularization, pancreatic transsection, splenic and hepatic lacerations.

Case contributed by Dr Heather Pascoe


MCA. Unrestrained passenger. Severe back and upper abdominal pain.

Patient Data

Age: 18 Y
Gender: Female
  1. Devascularisation of the left kidney secondary to transection of the left renal artery. Suspicion for active haemorrhage within the posterior aspect of the left kidney.
  2. Pancreas body laceration, possibly transection, at risk for pancreatic duct injury.
  3. Splenic and left lobe of liver lacerations. No active contrast extravasation identified at these lacerations. There is an associated retroperitoneal haematoma that tracks into the lienorenal and gastrosplenic ligaments.
  4. Small right haemothorax.
  5. Fractures of the right transverse processes of T7, T8 and T9, as well as a fracture through the right posterolateral superior corner of the T10  vertebral body.
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Case information

rID: 33610
Case created: 18th Jan 2015
Last edited: 17th Oct 2017
Inclusion in quiz mode: Included

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