14 year old boy with blunt abdominal trauma(car accident)

Images

Doctor's Information

Name : Morteza
Family :Sanei Taheri
Affiliation : ----------------
Academic Degree: ----------------
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Resident : Hussein Soleiman Tabar

Patient's Information

Gender : Male
Age : 14

Case Section

Interventional Radiology

Clinical Summary

Young man with penetrating abdominal trauma

Imaging Procedures and Findings

Transection of renal artery is noted on selective left renal arteriogram. On CT images impaired renal enhancement and perinephric hematoma are evident.

Discussion

Injury to kidney is not rare in either penetrating or major blunt trauma. A full range of vascular injuries can be seen from hematuria without visible injury (grade 1) to a shattered kidney or renal hilum avulsion (grade 5). Angiography is most often performed in these patients to determine the extent of injury and therapeutic planning, which may be surgical or via endovascular means. A special type of trauma to the kidney, of course, is iatrogenic, including biopsy or catheter placement. This also includes the renal transplant, which might be undergoing repeated biopsies. Angiography is performed to determine the site and nature of the injury, which could be pseudoaneurysm, arteriovenous fistula, or even extravasation. Most of these injury sites are amenable to endovascular treatment, most often by subselective catheterization and coiling.