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"A Case of Recurrent Abdominal Pain"



Case of the Week 268

What's the most likely diagnosis?

  • 43 year-old in a motor vehicle accident

  1. Psoas muscle hematoma
  2. Pelvic fracture
  3. Vertebral fracture
  4. Aortic transection
  5. Subcapsular hematoma



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

More ...

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