Renal and liver lacerations from penetrating trauma

Case contributed by RMH Core Conditions

Presentation

Stab wound; right flank.

Patient Data

Age: 25 years
Gender: Male

 

There is a linear laceration through the segment 6 of the liver. The laceration extends medially through the upper pole of the right kidney.

There is a moderate amount of haemoperitoneum.

There is no evidence of free gas. The bowel appears normal.

The rest of the abdomen is unremarkable.

There is a moderate size right effusion. No pneumothorax is seen. Right basal consolidation/contusion.

Conclusion

Linear laceration through segment 6 of the liver and the upper pole of the kidney with haemoperitoneum.

This case demonstrates how the injuries from penetrating trauma (blue arrows), can be remote from the entry wound (red arrow).

Case Discussion

Surprisingly, the majority of cases of penetrating stab wounds can be managed non-operatively, with examination shown to be accurate in deciding on cases that will require operative management. 

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Case information

rID: 33572
Case created: 16th Jan 2015
Last edited: 3rd Oct 2017
Tags: kidney, trauma
Inclusion in quiz mode: Included

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