Abstract
A 3-year-old boy was brought to the emergency unit 1 h following a deceleration injury. On clinical examination there were no signs of injury and US showed only free intraperitoneal fluid. The following morning, contrast-enhanced CT showed the right kidney did not enhance and delayed scans showed contrast medium in the renal vein. This is an indirect sign of post-traumatic renal artery occlusion. Failure to recognise this sign may have disastrous consequences in a patient with solitary kidney or bilateral renal artery occlusion. Contrast-enhanced CT scan remains the most widely available investigation for accurate staging of blunt renal trauma.
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Received: 15 March 2000/Accepted: 29 March 2000
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Chowdhary, S., Pimpalwar, A., Narasimhan, K. et al. Blunt injury of the abdomen: a plea for CT. Pediatric Radiology 30, 798–800 (2000). https://doi.org/10.1007/s002470000330
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DOI: https://doi.org/10.1007/s002470000330