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钝性腹部创伤继发肾动脉损伤——两例报告

Renal Artery Injury Secondary to Blunt Abdominal Trauma - Two Case Reports.

作者信息

Ahmed Zahoor, Nabir Syed, Ahmed Mohamed Nadeem, Al Hilli Shatha, Ravikumar Vajjala, Momin Umais Zaid

机构信息

Department of Radiology, Hamad General Hospital, Doha, Qatar.

出版信息

Pol J Radiol. 2016 Nov 28;81:572-577. doi: 10.12659/PJR.899710. eCollection 2016.

Abstract

BACKGROUND

Blunt abdominal trauma is routinely encountered in the Emergency Department. It is one of the main causes of morbidity and mortality amongst the population below the age of 35 years worldwide. Renal artery injury secondary to blunt abdominal trauma however, is a rare occurrence. Here, we present two such cases, encountered in the emergency department sustaining polytrauma following motor vehicle accidents.

CASE REPORT

We hereby report two interesting cases of renal artery injury sustained in polytrauma patients. In these two cases we revealed almost the entire spectrum of findings that one would expect in renal arterial injuries.

CONCLUSIONS

Traumatic renal artery occlusion is a rare occurrence with devastating consequences if missed on imaging. Emergency radiologists need to be aware of the CT findings so as to accurately identify renal artery injury. This case report stresses the need for immediate CT assessment of polytrauma patients with suspected renal injury, leading to timely diagnosis and urgent surgical or endovascular intervention.

摘要

背景

钝性腹部创伤在急诊科很常见。它是全球35岁以下人群发病和死亡的主要原因之一。然而,钝性腹部创伤继发的肾动脉损伤很少见。在此,我们介绍两例在急诊科遇到的因机动车事故导致多发伤的此类病例。

病例报告

我们在此报告两例多发伤患者发生肾动脉损伤的有趣病例。在这两例病例中,我们揭示了肾动脉损伤患者几乎所有预期的检查结果。

结论

创伤性肾动脉闭塞很少见,如果在影像学检查中漏诊会产生灾难性后果。急诊放射科医生需要了解CT表现,以便准确识别肾动脉损伤。本病例报告强调了对疑似肾损伤的多发伤患者进行立即CT评估的必要性,从而实现及时诊断和紧急手术或血管内介入治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26fe/5181523/d1394740db77/poljradiol-81-572-g001.jpg

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