Young adult male motorcyclist with haematuria after recent accident.


Identify these two IVUs?



ANSWER

The top IVU  shows a distorted pelvicalyceal system with a gap in the nephrogram of enhanced renal tissue in the mid-part of the left kidney. There is a recent fracture of the transverse process on the right side of L1 vertebra. In one view, the possibility an an apophysis cannot be excluded. The rounded tip of the left transverse process of the second lumbar vertebra, L2, has been lost. It lies immediately below as a triangular density in this view (and as a crescent over the left renal artery in the angiogram).
The left renal angiogram shows normal renal perfusion, but with a laceration of the kidney giving a gap in the perfusion and immediate enhancement of the renal cortex.


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10 comments

  1. Anonymous Says:
  2. traumatismo y ruptura renal izquierda

     
  3. Anonymous Says:
  4. trauma to the kidney

     
  5. Anonymous Says:
  6. Kidny laceration

     
  7. Anonymous Says:
  8. vertebral column as anchilosing spondilitis; kidney lesion (hematoma).

     
  9. Anonymous Says:
  10. bleeding due to kidney rupture...

     
  11. ADNAN Says:
  12. trauma to kidney

     
  13. kuthuru Says:
  14. Der r no features suggestive of any obstructive pathology.....however d second X-ray image reveals "Traumatic rupture at d kidney".....immediate surgical intervention is warranted.....

     
  15. Anonymous Says:
  16. subcapsular bleeding

     
  17. Anonymous Says:
  18. Arrange abdominal CT with contrast

     
  19. Michal P. Says:
  20. what is the right answer? it is trauma of kindey, isn´t it?

     

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