This seven-years old girl was hit by a car. She had hematuria and abdominal pain. The ultrasound showed left renal injury. The CT urogram showed clearly the lower pole fracture in the arterial phase (Fig. 1), with intact upper and lower polar arteries on the angiogram (Fig. 2). The venous phase image (Fig. 3) also showed the fracture well. The CT urogram image showed the injury to the lower pole calyx (Fig. 4) and mild extravasation.
Renal trauma can be very well assessed with CT and these two articles (1) and (2), provide comprehensive summaries.
These images are amazing. We don't deal with trauma at my facility, as a rule. These were pretty dramatic.
As I have always said - if I can look at your scan/xray and see a problem, it's bad, because I couldn't find a rib from femur half the time. Good thing I'm a nurse and not a radiologist.
I exaggerate, of course ; )
Posted by: Kim | June 25, 2006 at 11:53 PM