Ihara Nobumaro, Yashiro Naobumi, Itoh Kensuke, Kasai Takeshi
Department of Radiology, Kameda Medical Center, 929 Higashi-cho, Kamogawa, Chiba 296-8602, JAPAN.
Radiat Med. 2004 Jul-Aug;22(4):272-4.
We report the case of a 65-year-old man with blunt abdominal trauma following a fall from a three-meter-high roof. Contrast-enhanced abdominal computed tomography (CT) obtained in early phase showed intense contrast enhancement in the urinary tract as dense as artery. This finding was considered characteristic of traumatic communication between artery and collecting system. In cases of blunt abdominal trauma, contrast-enhanced CT should be obtained in the early phase to diagnose this disorder. When the diagnosis is made, prompt treatment should be initiated.
我们报告了一例65岁男性患者,其从三米高的屋顶跌落,导致腹部钝性创伤。早期进行的腹部增强计算机断层扫描(CT)显示,尿路造影剂增强明显,密度与动脉相当。这一发现被认为是动脉与集合系统之间创伤性连通的特征。对于腹部钝性创伤病例,应在早期进行增强CT检查以诊断这种疾病。一旦确诊,应立即开始治疗。