Coronal contrast-enhanced CT images of the abdomen in a pati | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Coronal contrast-enhanced CT images of the abdomen in a patient status post motor vehicle collision showed devascularization of the majority of the left kidney (arrow, image 1) and thrombus extending into the renal vein (arrow, image 2). Renal devascularization following abdominal trauma represents a type V renal injury. The American Association for the Surgery of Trauma (AAST). Renal devascularization in the setting of trauma can be caused by arterial dissection or rupture. Children are more susceptible to renal artery injury due to the relatively larger kidneys compared to the abdominal cavity and their relative lack of abdominal musculature and fat. Small portions of the kidney may remain vascularized due to perforating cortical arterial branches arising more proximal to the injury vessel. #TummyTuesday #AbdomenTuesday

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