12 year old boy with Hematuria Following Blunt Trauma to the Right Kidney associated with Contusions and a Fracture of the Transverse Process
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Axial CT through the kidneys shows a delayed nephrogram and multiple ill-defined filling defects in the right kidney consistent with contusions and possible vascular injury. An associated fracture of a right transverse process is noted with swelling of the ipsilateral erector spinae muscle and psoas muscle at that level.
Ashley Davidoff MD TheCommonVein.net 135567
Right Kidney Contusions, Wedge Shaped Perfusion Defects and Fracture of the Transverse Process
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Axial CT through the kidneys shows delayed nephrogram and multiple wedge-shaped perfusion defects in the right kidney consistent with a vascular injury possibly related to vasospasm. An associated fracture of a right transverse process is suggested with swelling of the ipsilateral erector spinae muscle and psoas muscle at that level.
Ashley Davidoff MD TheCommonVein.net 135568
Right Kidney Wedge Shaped Perfusion Defects and Swelling of the Psoas and Erector Spinae
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Axial CT through the kidneys shows delayed nephrogram and multiple wedge-shaped perfusion defects in the right kidney consistent with a vascular injury possibly related to vasospasm. There is swelling of the ipsilateral erector spinae muscle and psoas muscle.
Ashley Davidoff MD TheCommonVein.net 135569
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Axial CT through the kidneys shows delayed nephrogram and multiple wedge-shaped perfusion defects in the right kidney consistent with a vascular injury possibly related to vasospasm. An associated fracture of a right transverse process is suggested with swelling of the ipsilateral erector spinae muscle and psoas muscle at that level.
Ashley Davidoff MD TheCommonVein.net 135570
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Axial CT through the kidneys shows delayed nephrogram and multiple wedge-shaped perfusion defects in the right kidney consistent with a vascular injury possibly related to vasospasm. There is swelling of the ipsilateral erector spinae muscle and psoas muscle.
Ashley Davidoff MD TheCommonVein.net 135571
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Coronal CT through the kidneys shows delayed nephrogram and multiple wedge-shaped perfusion defects in the right kidney consistent with a vascular injury possibly related to vasospasm. There is swelling of the ipsilateral erector spinae muscle and psoas muscle.
Ashley Davidoff MD TheCommonVein.net 135572
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Coronal CT through the kidneys shows delayed nephrogram and multiple wedge-shaped perfusion defects in the right kidney consistent with a vascular injury possibly related to vasospasm. There is swelling of the ipsilateral erector spinae muscle and psoas muscle.
Ashley Davidoff MD TheCommonVein.net 135573
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Coronal CT through the kidneys shows delayed nephrogram and multiple wedge-shaped perfusion defects in the right kidney consistent with a vascular injury possibly related to vasospasm. There is swelling of the ipsilateral erector spinae muscle and psoas muscle.
Ashley Davidoff MD TheCommonVein.net 135574
Right Renal Artery Defect Question Vascular Injury
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Coronal CT through the abdominal aorta and proximal right renal artery shows a focal defect in the artery raising the possibility of a vascular injury.
Ashley Davidoff MD TheCommonVein.net 135575
Small Right Renal Artery – Question Vasospasm
12-year-old male with hematuria and flank pain following blunt trauma to the right flank after MVA. Coronal CT through the right hilum shows an artery (red arrowheads) and vein (blue arrowhead) in the renal hilum. The apparent small size of the vessel raises the question of vasospasm in the clinical context and other radiological findings of multiple wedge-shaped perfusion defects throughout the right kidney. No follow up imaging was available
Ashley Davidoff MD TheCommonVein.net 135576c