PMC9755553_01
PMC9755553_02
computed tomography scan showing lacerated and devascularized spleen and transected left kidney (arrows)
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F1
After ascertaining hemodynamic stability, a decision to proceed with a CT scan of the abdomen was taken, which revealed devascularized spleen with laceration extending into the hilum (grade V), non-enhancing lower half of left kidney with laceration involving the upper, middle, and lower poles with extension into the hilum (grade V), and large perinephric hematoma (Figure 1).
three (3-D) reconstructed computed tomography images showing the extent of injuries (arrows)
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F2
These findings suggest Grade V injuries (shattered spleen and left kidney) (Figure 2).
follow-up computed tomography scan showing contrast leak suggestive of urinoma (arrow)
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F3
Follow-up and outcome: a follow-up CT scan was done after 72 hours which revealed a large perinephric urinoma, approximately 246 ccs (Figure 3), for which a double j (DJ) stenting was inserted cystoscopically.