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MDCT Findings of Renal Trauma

Soo Jin Park1, Jeong Kon Kim1, Kyoung Won Kim1 and Kyoung-Sik Cho1

1 All authors: Department of Radiology, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea.


Figure 1
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  		Fig. 1A —26-year-old woman with grade I injury. Drawing shows subcapsular hematoma.

 

Figure 2
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  		Fig. 1B —26-year-old woman with grade I injury. Contrast-enhanced CT scan at early excretory phase shows crescent-shaped fluid collection (arrows) between renal capsule and renal parenchyma.

 

Figure 3
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  		Fig. 1C —26-year-old woman with grade I injury. Sagittal reformation of B shows fluid collection (arrows).

 

Figure 4
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  		Fig. 2A —40-year-old man with grade II injury to left kidney. Drawing shows cortical laceration less than 1 cm deep and perinephric hematoma.

 

Figure 5
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  		Fig. 2B —40-year-old man with grade II injury to left kidney. Contrast-enhanced CT scan at corticomedullary phase shows cortical laceration (arrow) and perinephric hematoma (arrowheads).

 

Figure 6
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  		Fig. 3A —5-year-old boy with grade III injury. Drawing shows laceration more than 1 cm deep and perinephric hematoma.

 

Figure 7
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  		Fig. 3B —5-year-old boy with grade III injury. Contrast-enhanced CT scan at early excretory phase shows cortical laceration (arrow) more than 1 cm deep and perinephric hematoma.

 

Figure 8
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  		Fig. 3C —5-year-old boy with grade III injury. Thin-slab maximum intensity projection in oblique coronal plane shows laceration (arrow) and hematoma.

 

Figure 9
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  		Fig. 4A —6-year-old boy with grade IV injury to right kidney. Drawing shows laceration extending through renal collecting system.

 

Figure 10
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  		Fig. 4B —6-year-old boy with grade IV injury to right kidney. Thin-slab maximum-intensity-projection CT scan in oblique coronal plane obtained at corticomedullary phase shows laceration throughout parenchyma (arrow).

 

Figure 11
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  		Fig. 4C —6-year-old boy with grade IV injury to right kidney. Maximum intensity projection shows leakage of contrast material (arrows) caused by laceration of collecting system.

 

Figure 12
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  		Fig. 4D —6-year-old boy with grade IV injury to right kidney. Volume-rendering oblique coronal image shows leakage of contrast material (arrows).

 

Figure 13
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  		Fig. 5 —8-year-old girl with segmental renal artery infarction in left kidney. Contrast-enhanced CT scan in early excretory phase shows well-circumscribed wedge-shaped nonenhancing areas (arrow).

 

Figure 14
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  		Fig. 6A —21-year-old woman with grade V injury to left kidney. Drawing shows shattered kidney.

 

Figure 15
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  		Fig. 6B —21-year-old woman with grade V injury to left kidney. Contrast-enhanced CT scan at early excretory phase shows shattering (arrow).

 

Figure 16
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  		Fig. 7A —37-year-old man with grade V injury to left kidney. Drawing shows laceration of main renal artery resulting in devascularization of affected kidney.

 

Figure 17
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  		Fig. 7B —37-year-old man with grade V injury to left kidney. Contrast-enhanced CT scan at nephrographic phase shows hematoma (arrows) around left renal artery and lack of enhancement of kidney.

 

Figure 18
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  		Fig. 8A —55-year-old woman with iatrogenic arteriovenous fistula sustained during biopsy. Contrast-enhanced CT scan at corticomedullary phase shows fistula (arrow).

 

Figure 19
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  		Fig. 8B —55-year-old woman with iatrogenic arteriovenous fistula sustained during biopsy. Maximum intensity projection in coronal plane shows fistula (arrow).

 

Figure 20
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  		Fig. 9 —28-year-old man with infected hematoma after cortical laceration. Contrast-enhanced CT scan at early excretory phase shows fluid collection with wall enhancement (arrows) around right kidney.

 

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