October 2012

Abnormal fluid collection at the lowerpole of the right kidney with internal structure

Clinical Info

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

Ultrasound Images & Clips

Abnormal fluid collection around the right kidney

Abnormal fluid collection at the lowerpole of the right kidney with internal structure
Abnormal fluid collection at the lowerpole of the right kidney with internal structure
Another longitudinal image of the right kidney and fluid collection at the lower pole
Another longitudinal image of the right kidney and fluid collection at the lower pole
Transverse image of the right kidney with fluid collection
Transverse image of the right kidney with fluid collection
Longitudinal image of the right kidney and fluid collection which also contains some air
Longitudinal image of the right kidney and fluid collection which also contains some air
There is air in the fluid collection
There is air in the fluid collection
The pancreas looks normal. No fluid around the pancreas
The pancreas looks normal. No fluid around the pancreas
Longitudinal image of the pancreas and liver. No fluid was found. There was no fluid in the rest of the abdomen
Longitudinal image of the pancreas and liver. No fluid was found. There was no fluid in the rest of the abdomen
video in longitudinal plane with a fluid collection containing air next to the right kidney
video also showing part of the duodenum with a thickened wall urrounded by fluid with air
video in transverse plane also showing the fluid and part of the duodenum
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
CT scan axial plane late phase showing a normal right kidney
CT scan in coronal plane The defect in the duodenal wall in the inferior part of the duodenum is clearly visible

Conclusion

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


Details

  • Sex: Female
  • Age: 26

Created with

  • Hitachi Ultrasound System