Renal injury - AAST grade V

Discussion:
  • AAST grade V left renal injury based on devascularisation of the medial inferior kidney. 
  • Moderate perinephric hematoma with no evidence of active bleeding. 
  • No urine leak identified. 
  • Undisplaced left 11th rib fracture laterally. 
  • Thickwalled descending colon is equivocal for traumatic injury or may be reactive to nearby hematoma.
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