Grade Madeline M, Poffenberger Cori, Lobo Viveta
Department of Emergency Medicine, Stanford University School of Medicine.
Cureus. 2018 Jan 25;10(1):e2113. doi: 10.7759/cureus.2113.
We report a renal laceration identified on a point-of-care ultrasound (POCUS) performed in the emergency department on a 58-year-old female presenting after blunt trauma. Emergency workup demonstrated a right flank abrasion with tenderness to palpation, hematuria, and decreasing hematocrit. A Focused Assessment with Sonography in Trauma (FAST) exam, performed as part of the intake trauma protocol, identified positive intraperitoneal fluid in the right upper quadrant. A computed tomography (CT) scan established a diagnosis of isolated right renal hematoma arising from a Grade IV laceration, with no collecting duct involvement. This report reviews the sonographic distinction between a renal hematoma and a positive FAST exam, and emphasizes the vital role ultrasound plays in the evaluation of the trauma patient.
我们报告了一例在急诊科对一名58岁女性钝性创伤后进行的床旁超声（POCUS）检查中发现的肾裂伤。急诊检查显示右侧胁腹擦伤伴触痛、血尿和血细胞比容下降。作为创伤入院检查流程的一部分，进行的创伤超声重点评估（FAST）检查发现右上腹有腹腔内积液。计算机断层扫描（CT）扫描确诊为IV级裂伤导致的孤立性右肾血肿，未累及集合管。本报告回顾了肾血肿与FAST检查阳性之间的超声鉴别，并强调了超声在创伤患者评估中所起的重要作用。
