Presentation
Restrained child in high-speed RTC.
Patient Data
Age: 14 years
Gender: Male
From the case:
Renal laceration (collecting system involvement)
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There is severe laceration to the left kidney with a large fluid-density collection around the kidney.
From the case:
Renal laceration (collecting system involvement)
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After 10 minutes delay, repeat imaging of the abdomen and pelvis confirms that the left perirenal collection consists of a haematoma and urinoma with active urine-leak from the left collecting system.
Case Discussion
Severe abdominal trauma with a renal laceration that extends to the collecting system with free urine-leak. This demonstrates the importance of performing delayed imaging in patients with severe solid organ trauma or in whom there is suspicion for active haemorrhage.
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