PMC5181523_01
Contrast-enhanced CT scan of the abdomen demonstrating abrupt termination of the left renal artery (short arrow), with adjacent contrast blush/extravasation (long arrow), suggesting renal arterial laceration. Devascularized left kidney is also noted. The right parenchyma is normally enhanced.
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Contrast-enhanced CT scan of the abdomen demonstrated abrupt termination of the proximal segment of the left renal artery (Figure 1) with adjacent active contrast extravasation/pooling, suggesting renal arterial laceration. There was non-enhancement of the left renal artery - devascularized left kidney (Figures 1-3).
Pooling of extravasated contrast (arrow) at the left renal hilum with devascularized left kidney.
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There was non-enhancement of the left renal artery - devascularized left kidney (Figures 1-3).
Devascularized left kidney with pooling of extravasated contrast at the left renal hilum.
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There was non-enhancement of the left renal artery - devascularized left kidney (Figures 1-3).
Multiple splenic lacerations (arrows) with perisplenic hematoma.
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In addition, the patient also had multiple splenic lacerations (Figure 4) and a large perisplenic hematoma.
Pancreatic lacerations (long arrow) with peripancreatic hematoma. Non-enhancing left kidney (short arrow) is also noted at this level.
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The patient had also sustained pancreatic lacerations (Figure 5) and left diaphragmatic rupture (Figure 6).
Coronal reformatted contrast-enhanced CT image. Abnormal high location of the spleen in the left hemithorax, with left-sided hemothorax, indicating left diaphragmatic rupture. Devascularized left kidney and normally-enhancing right kidney are also visualized.
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The patient had also sustained pancreatic lacerations (Figure 5) and left diaphragmatic rupture (Figure 6).
PMC5181523_02
Contrast-enhanced CT of the abdomen demonstrating abrupt termination of the left renal artery (long arrow) and decreased perfusion of the left kidney (short arrow).
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CT scan of the abdomen revealed abrupt truncation of the proximal segment of the left renal artery (Figure 7), with a surrounding hematoma.
Relative hypoperfusion of the left kidney. There is reconstitution of flow in the distal segment of the left renal artery (arrow), suggesting partial thrombosis/obstruction. Note the right perinephric and left perihilar hematoma, without apparent active contrast extravasation.
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There was reconstitution of flow in the distal segment of the left renal artery (Figure 8), thereby suggesting partial thrombosis/occlusion of the artery.
Right renal parenchymal laceration (arrow) with perinephric hematoma.
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In addition, there was a right renal laceration (Figure 9) with an associated right perinephric hematoma.
Selective left renal digital subtraction angiogram demonstrating abrupt cut-off at the junction of the proximal/mid segment of the left renal artery.
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Digital subtraction angiogram revealed total occlusion of the left renal artery (Figure 10) with extravasation of contrast (Figure 11).
Selective left renal digital subtraction angiogram showing extravasation of contrast from the left renal artery. There is non-opacification of the distal renal arterial segment.
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Digital subtraction angiogram revealed total occlusion of the left renal artery (Figure 10) with extravasation of contrast (Figure 11).