Traumatic abdominal injuries

Discussion:

This case demonstrates severe multi-organ trauma. The patient required angio-embolization:

  • massive right renal hilar injury with subsequent embolization
  • mid-left renal artery injury
  • punctate bleeding along internal iliac branches (i.e. active pelvic bleeding)
  • active hepatic bleeding
  • confirmed celiac dissection/pseudoaneurysm 

Other injuries demonstrated:

  • splenic infarct
  • right adrenal gland infarct (likely)
  • shock bowel (suspected)
  • rectal injury
  • open pelvic and sacral fractures
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