February 2013

Abnormal kidney after trauma

Clinical Info

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 a normal upperpole and abnormal lowerpole with a large perirenal mass
Longitudinal view with an abnormal right kidney with a normal upperpole and abnormal lowerpole with a large perirenal mass
Another longitudinal image. The mass is a large perirenal hematoma
Another longitudinal image. The mass is a large perirenal hematoma
Another longitudinal view showing  a defect in the renal perenchyma
Another longitudinal view showing a defect in the renal perenchyma
video longitudinal plane, dorsal approach
video transverse plane dorsal approach
video
CT early (arterial) phase
CT late phase. The large renal defects and the large perirenal hematoma are clearly seen
This is a longitudinal image of the right kidney of a 22 year old motorcyclist who also has suffererd an accident
This is a longitudinal image of the right kidney of a 22 year old motorcyclist who also has suffererd an accident
Another longitudinal image of the same kidney clearly showing a perirenal hematoma
Another longitudinal image of the same kidney clearly showing a perirenal hematoma
CT scan of the same patient in the early arterial phase
CT axial plane
Because the patient had a rapid drop in Hb he underwent an angiography to see if an embolisation procedure was necessary. There is extravasation of contrast
Because the patient had a rapid drop in Hb he underwent an angiography to see if an embolisation procedure was necessary. There is extravasation of contrast
A later phase image shows spreading of the contrast outside the artery. An embolisation procedure was performed and the patient stabilized
A later phase image shows spreading of the contrast outside the artery. An embolisation procedure was performed and the patient stabilized

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

Created with

  • Hitachi Ultrasound System