Splenic and renal injuries

Discussion:

A nice case example of the "corridor of impact" concept in blunt trauma. The splenic injury is obvious in this case, however, it is always important to look at surrounding structures for less obvious injuries, such as the left renal injury in this case. This case also demonstrates the utility of keeping patients on the scanner for a delayed scan in the setting of renal trauma to assess for urine leak. 

This patient was successfully managed with proximal splenic artery embolization for the splenic injury and the renal injury was managed conservatively with follow-up CT intravenous pyelogram showing no development of a urinoma.    

    Create a new playlist
Loading...