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previously visited RENAL TRAUMA Random Case
Authored By: dalia yosif, Radiologist, Kasr Aini hospital, Egypt.
Patient: 32 year old male
History:

32 year old male,following MVA,

During FAST examination ,the right kidney was surrounded by heterogenity suggested the presence of perinephric hematoma  & soon later the patient developed gross hematuria

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Findings: the right kidney is surrounded by perinephric hematoma
Diagnosis: Grade 2 renal injury ,perinephric hematoma
Discussion:

32 year old male,following MVA,

During FAST examination ,the right kidney was surrounded by heterogenity suggested the presence of perinephric hematoma  & soon later the patient developed gross hematuria

Grading

Renal injuries are graded by the American Association for the Surgery of Trauma (AAST) on the basis of the depth of injury and the involvement of vessels or the collecting system as follows (Moore, 1989).

  • Grade 1
    • Hematuria with normal imaging studies
    • Contusions
    • Nonexpanding subcapsular hematomas
  • Grade 2
    • Nonexpanding perinephric hematomas confined to the retroperitoneum
    • Superficial cortical lacerations less than 1 cm in depth without collecting system injury
  • Grade 3 - Renal lacerations greater than 1 cm in depth that do not involve the collecting system
  • Grade 4
    • Renal lacerations extending through the kidney into the collecting system
    • Injuries involving the main renal artery or vein with contained hemorrhage
    • Segmental infarctions without associated lacerations
    • Expanding subcapsular hematomas compressing the kidney
  • Grade 5
    • Shattered or devascularized kidney
    • Ureteropelvic avulsions
    • Complete laceration or thrombus of the main renal artery or vein
References: emedicine
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Additional Details:

Case Number: 30038063Last Updated: 08-06-2009
Rating:

1 rating
Anatomy: Genitourinary (GU)   Pathology: Trauma
Modality: CTAccess Level: Readable by all users

Case has been viewed 271 times.

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