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"A Case of Recurrent Abdominal Pain" |
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Case of the Week 268 
What's the most likely diagnosis?
- 43 year-old in a motor vehicle accident
- Psoas muscle hematoma
- Pelvic fracture
- Vertebral fracture
- Aortic transection
- Subcapsular hematoma
Answer:
5. Subcapsular hematoma (and renal laceration) of the left kidney
More (Click Discussion Tab)
Subcapsular hematoma -- Renal Trauma
General Considerations
- Incidence
- Renal trauma is most common of all GU trauma occurring in about 10% of patients with significant blunt or penetrating abdominal trauma
- Cause
- Motor vehicle accident
- Contact sports
- Falls and fights
- Less often penetrating wounds
- Mechanism
- Direct blow (>80%) frequently compressed and often lacerated by lower ribs
- Acceleration-deceleration injuries can produce renal artery tears
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