Renal laceration and active bleeding from snowboarding injury

Case contributed by Dr Michael P Hartung

Presentation

Fall while snowboarding.

Patient Data

Age: 20 years
Gender: Male

Right superior to med renal laceration with active extravasation and large retroperitoneal hematoma. No collecting system or ureteric injury on delayed images. 

Case Discussion

Surprisingly large injury of the right kidney after falling while snowboarding, with an upper pole laceration and active extravasation resulting in a large amount of perinephric/retroperitoneal bleeding. 

This patient was successfully managed non-operatively with obersvation and blood transfusion. Presumably the bleeding was tamponaded by being confined to the retroperitoneum. 

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