Traumatic aortic injury with small renal infarct

Case contributed by Dr Andrew Dixon

Presentation

Restrained driver in high speed car accident.

Patient Data

Age: 25
Gender: Male

Intimal flap visible within the descending aorta at the level of the aortic isthmus. No intramural or periaortic haematoma. A region of wedge-shaped hypodensity is seen in the right renal lower pole consistent with an infarct. Subcutaneous seat belt bruising is evident. 

Case Discussion

This case demonstrates how aortic injuries are not always accompanied by other traumatic injuries. This traumatic flap has flicked off a thromboembolus to produce a small right renal infarct which emphasises the importance of recognising and managing these injuries.  

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Case information

rID: 32479
Case created: 28th Nov 2014
Last edited: 24th Nov 2015
System: Chest
Inclusion in quiz mode: Included

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