Traumatic renal laceration

Case contributed by Barbara Turi
Diagnosis almost certain

Presentation

Hematuria and abdominal pain.

Patient Data

Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

Laceration of the left kidney appearing as linear or wedge-shaped opacification defects, with perirenal hematoma.

Case Discussion

Traumatic renal laceration (grade II-III of AAST) appearing as linear or wedge-shaped opacification defects that are particularly evident in the nephrographic phase, may have a depth < 1 cm (grade II)  or > 1 cm (grade III) without involvement of the collecting system; in most cases there is associated perirenal hematoma, a hyperattenuating fluid in the perinephric fat.

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