PMC4939183_01
CT abdomen with contrast showing massive retroperitoneal haematoma of different ages.
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Findings were consistent with massive retroperitoneal haematoma extending from diaphragm (Figures 1(a) and 1(b)) displacing left kidney (Figures 2(a) and 2(b)) and extending into pelvic cavity.
Transverse CT abdomen showing haematoma of varying ages and displaced left kidney.
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Findings were consistent with massive retroperitoneal haematoma extending from diaphragm (Figures 1(a) and 1(b)) displacing left kidney (Figures 2(a) and 2(b)) and extending into pelvic cavity.
CT pelvis showing haematoma extending to pelvis. Gravid uterus is visible.
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The pregnancy was however found intact within uterus (Figures 3(a) and 3(b)).
Coronal section showing massive haematoma and displaced left kidney. Cystic lesion in upper pole of left kidney is visible.
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Varying shades of hyper- and hypodensities were suggestive of haemorrhages of different ages which were periodic and of slow episodes (Figures 4(a) and 4(b)).
Cystic lesion in left kidney upper pole is clearly visible and marked with yellow arrow.
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The main source of bleeding was found to be the apical portion of left kidney which appeared as a cystic lesion in continuity with the haemorrhage (Figure 5).