Black kidney sign: a new computed tomographic finding associated with the hypoperfusion complex in children.
The authors describe a new CT finding associated with the hypoperfusion complex in children: complete lack of enhancement of both kidneys without renal swelling, without subcapsular cortical rim enhancement, and without peripheral wedge-shaped areas of hypoattenuation. This "black kidney sign" was found in two severely injured children who died within a few hours after the CT examination. It may help to establish a diagnosis of severe hemodynamic instability and may be a negative prognostic factor.
Catalano
Onofrio A
OA
AO G Rummo, Beltiglio, 82010 BN, Italy. onofriocatalano@yahoo.it
Napolitano
Marcello
M
Vanzulli
Angelo
A
D000063:Accidents, Traffic; D002675:Child, Preschool; D017809:Fatal Outcome; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012774:Shock, Traumatic / Q000000981:diagnostic imaging* / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014566:Urogenital System / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*