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Renal injury - AAST grade III

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Blunt abdominal trauma 6-day back. He had mild hematuria on the first day. No gross hematuria thereafter.

Patient Data

Age: 8 year
Gender: Male
ultrasound

Perinephric hematoma is noted.

There is evidence of laceration in the interpolar region of the left kidney closely abutting the collecting system with its deep being about 1.9 cm and weight being about 0.8 cm. 
No contrast leakage from the collection system is noted.
No vascular injury is seen.
Left perinephric hematoma is noted confined with the perirenal fascia with a maximum thickness of 1.5 cm.

Case Discussion

Left renal interpolar laceration with perirenal hematoma. No significant communication with the collection system. No vascular injury. (Grade III injury according to AAST scale)

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