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Case of the Month

October 2012

Patient Data: Female patient 26 years old

Clinical Info: Has been kicked in the abdomen the night before. Now has severe abdominal pain


46489-Afbeelding1.jpg
Abnormal fluid collection at the lowerpole of the right kidney with internal structure


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Another longitudinal image of the right kidney and fluid collection at the lower pole


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Transverse image of the right kidney with fluid collection


46490-Afbeelding4.jpg
Longitudinal image of the right kidney and fluid collection which also contains some air


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There is air in the fluid collection


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The pancreas looks normal. No fluid around the pancreas


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Longitudinal image of the pancreas and liver. No fluid was found. There was no fluid in the rest of the abdomen


46497-7563000_20120503__0013.swf video in longitudinal plane with a fluid collection containing air next to the right kidney


46498-7563000_20120503__0024.swf video also showing part of the duodenum with a thickened wall urrounded by fluid with air


46499-7563000_20120503__0038.swf video in transverse plane also showing the fluid and part of the duodenum


46524-duoden_rupt.swf CT scan in axial plane arterial phase showing a fluid filled duodenum with a thickened wall with a defect in the inferior part. There is fluid with air surrounding the duodenum extending to the right kidney


46525-duoden_rupt2.swf CT scan axial plane late phase showing a normal right kidney


46526-duoden_rupt3.swf CT scan in coronal plane The defect in the duodenal wall in the inferior part of the duodenum is clearly visible

The patient was operated and there was a duodenal perforation in the retroperitoneal part


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