renal vascular pedicle 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


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.

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