Blunt injury of the abdomen: a plea for CT.
A 3-year-old boy was brought to the emergency unit 1 h following a deceleration injury. On clinical examination there were no signs of injury and US showed only free intraperitoneal fluid. The following morning, contrast-enhanced CT showed the right kidney did not enhance and delayed scans showed contrast medium in the renal vein. This is an indirect sign of post-traumatic renal artery occlusion. Failure to recognise this sign may have disastrous consequences in a patient with solitary kidney or bilateral renal artery occlusion. Contrast-enhanced CT scan remains the most widely available investigation for accurate staging of blunt renal trauma.
Chowdhary
S K
SK
Department of Paediatric Surgery, Advanced Paediatric Centre, PGIMER, India. sujitchowdhary@hotmail.com
Pimpalwar
A
A
Narasimhan
K L
KL
Katariya
S
S
Rao
K L
KL
D000063:Accidents, Traffic; D002675:Child, Preschool; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D006801:Humans; D007668:Kidney / Q000098:blood supply* / Q000293:injuries*; D008297:Male; D012077:Renal Artery / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*