PMC9893267_01
Severe left kidney laceration at the level of an acute angle in the vertebral column caused by scoliosis in an 80-year-old woman. Computed tomography scan images show that the kidney was likely crushed by the sharp lateral edges of the lumbar spine extruding into the retroperitoneal space (arrows).
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Contrast-enhanced computed tomography (CT) showed a severe left kidney laceration with a large perirenal hematoma at the level of an acute angle in the vertebral column caused by scoliosis (Fig. 1, Video S1).
Extravasation of contrast medium from the left renal artery branches at the level of an acute angle in the vertebral column caused by scoliosis in an 80-year-old woman. (A) Selective arterial angiography showing extravasation of contrast medium from the left renal artery branches (arrows). (B) After selective arterial embolization using gelatin sponge particles and embolization coils, there is no extravasation (arrows). (C) Plain abdominal radiograph after selective arterial embolization showing the embolized left renal artery branches are at the level of an acute angle in the vertebral column caused by scoliosis (arrow).
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Selective angiography showed extravasation of contrast medium from the branches of the left renal artery (Fig. 2A). After selective arterial embolization using gelatin sponge particles (Serescue; Nippon Kayaku) and embolization coils (Tornado; Cook Medical), the extravasation ceased completely (Fig. 2B). Plain abdominal radiography after coil embolization showed that the embolized left renal artery branches were at the level of sharp lateral edges associated with the lumbar scoliosis (Fig. 2C).