Presentation
Post trauma.
Patient Data
Left renal laceration appearing as linear opacification defect predominantly involving the lower pole separating the kidney into two parts and not involving the hilum. A large perinephric hematoma surrounds the kidney. On the delayed scans there is no excretion of the lacerated lower pole, while the remaining kidney showing persistent nephrogram with no definite excretion into the renal pelvis.
On the portal venous phase, there is a large rounded density (similar to the artery/vein) density at the mid pole anteriorly near the hilum, most consistent with a pseudoaneurysm.
Normal right kidney.
Small splenic laceration < 3 cm with subcapsular hematoma < 50%.
Case Discussion
Left renal laceration (AAST grade III injury) and splenic laceration (AAST grade II). Multiple injured organs is common in trauma.
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