February 2013

Abnormal kidney after trauma

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Clinical information

Trauma with a fall on the right flank and hematuria.

Ultrasound Images & Clips

Abnormal kidney after trauma

Longitudinal view with an abnormal right kidney with normal upperpole and abnormal lowerpole with a perirenal mass

another longitudinal image

another longitudinal view

video longitudinal plane

video transverse plane dorsal approach

video

CT late phase

Longitudinal image of the right kidney of a 22 year old motorcyclist who suffererd an accident

Another longitudinal image of the same kidney

Ct scan of the same patient

CT axial plane

Because the patient had rapid drop in Hb he underwent an emolisation procedure

Later phase shows spreading of the contrast outside the artery

Conclusion

Both patients had an almost identical looking renal rupture with a large perirenal hematoma The first patient was conservatively treated and did well without any intervention. The second patient underwent an embolisation treatment and did well afterwards.

Details

Sex: Male
Age: 15

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Fujifilm Ultrasound System

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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