Polytrauma with left renal devascularization, pancreatic transsection, splenic and hepatic lacerations.
MCA. Unrestrained passenger. Severe back and upper abdominal pain.
Age: 18 Y
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- 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.
- Pancreas body laceration, possibly transection, at risk for pancreatic duct injury.
- 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.
- Small right haemothorax.
- 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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- 2. McKenney K, Boneva D, Deeter M et-al. Trauma Admission CT as a Road Map for IVC Filters. Int Surg. 2014;99 (6): 734-8. doi:10.9738/INTSURG-D-13-00192.1 - Free text at pubmed - Pubmed citation
- 3. Dreizin D, Bordegaray M, Tirada N et-al. Evaluating blunt pancreatic trauma at whole body CT: current practices and future directions. Emerg Radiol. 2013;20 (6): 517-27. doi:10.1007/s10140-013-1133-9 - Pubmed citation