renal vascular pedicle injury

Renal vascular pedicle injury • Renal vascular pedicle injury - Ganzer Fall bei Radiopaedia

Renal

vascular pedicle injury • Renal vascular pedicle injury - Ganzer Fall bei Radiopaedia

Singh G, Renal vascular pedicle injury. Case study, Radiopaedia.org (Accessed on 05 Apr 2023) https://doi.org/10.53347/rID-36191 • CC by-nc-sa 3.0 (modified)

Teenager who crashed their all terrain vehicle with abdominal painAxial and coronal CT with contrast of the abdomen immediate phase (above) shows low density in the superior and inferior poles of the left kidney and fluid in the left perirenal and pararenal spaces. There is also a large area of low density in the spleen. Delayed phase CT images (below) show extravasation of urine out of the ureter into the left pararenal space.The diagnosis was left renal laceration with ureteral transection and splenic laceration.

Teenager who

crashed their all terrain vehicle with abdominal painAxial and coronal CT with contrast of the abdomen immediate phase (above) shows low density in the superior and inferior poles of the left kidney and fluid in the left perirenal and pararenal spaces. There is also a large area of low density in the spleen. Delayed phase CT images (below) show extravasation of urine out of the ureter into the left pararenal space.The diagnosis was left renal laceration with ureteral transection and splenic laceration.

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siehe auch

rupturierte Nierenzyste Trauma
Lymphom der Niere
Nierenblutung
Ursachen Nierenblutung
renale Mikroaneurysmen bei Polyarteriits nodosa
renale Mikroaneurysmen
Nierenruptur
renal trauma grading
Nierentrauma
Nierenblutung diabetische Nephropathie
traumatische Einblutung Nierenzyste
Makrohämaturie
vascular trauma
Komplikationen ESWL
grade V renal injury

Renal vascular pedicle injury is a severe form of renal trauma, which if not recognized and treated expediently with lead to the loss of the kidney.

Radiographic features

CT

Contrast enhanced CT is the Imaging modality of choice. On CT it is recognized as a non-enhaning kidney. Perirenal hematoma is optional and depends on the cause of injury. If the pedicle is avulsed then there will be a large hematoma, whereas in the case of dissection no hematoma need be seen.

A devascularised kidney is consistent with a grade V renal injury.