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Case 2
Renal injury can be classified according to the American Association of Surgeons in Trauma (AAST).
Type 1 injury includes renal contusions or non-expanding subcapsular hematoma.
Type 2 injury includes parenchymal lacerations of less than 1 cm.
Type 3 injury includes parenchymal lacerations of greater than 1 cm but not involving the renal collecting system,or segmental renal artery thrombosis without renal lacerations.
Type 4 injury includes parenchymal lacerations that extend to the collecting system, or vascular injury withcontained hemorrhage.
Type 5 injury includes shattered kidney, lacerations to the renal hilum, or devascularization of the kidney.
Case 3
•What is the abnormality ?
•Retrocaval ureter
Case 3
•Renal vein thrombosis
Case 4
ANATOMICAL FEATURES:1. Right lobe of liver2. Aorta3. Right ventricle of heart4. Left ventricle of heart5. Inferior vena cava (IVC)6. Esophagus7. Azygous vein8. Hemiazygous vein9. Left lobe of liver10. Fundus of stomach11. Spleen12. Right crus of diaphragm13. Left crus of diapgragm14. Left portal vein15. Body of stomach16. Right portal vein17. Right adrenal gland18. Celiac artery (trunk)19. Splenic artery20. Hepatic artery21. Main portal vein22. Left adrenal gland23. Body of pancreas24. Splenic vein25. Gallbladder26. Antrum of stomach27. 1st part of duodenum28. Superior mesenteric artery (SMA)29. Right kidney30. Left kidney31. Head of pancreas32. 2nd part of duodenum33. Left renal vein34. Right renal artery35. Right renal vein36. Superior mesenteric vein (SMV)37. Hepatic flexure of colon38. 3rd part of duodenum39. Jejunum40. Transverse colon41. Inferior mesenteric artery (IMA)42. Right common iliac artery43. Left common iliac artery
Case 3
•What is the abnormality ?
Right portal vein
1
Left portal vein
2
Main portal vein
3
Splenic vein
4
Superior mesenteric vein
5
Inferior mesenteric vein
6
•Subsequent abdominal CT again revealsan abdominal aortic aneurysm with focalposterior outpouching anterior to the leftrenal vein. Again, contrast enhancementof the aorta, left renal vein and inferiorvena cava are noted. There is now onlyminimal contrast enhancement of the leftkidney with normal contrast enhancementof the right kidney.
Case 3
•What is the abnormality ?
Aorta
1
Celiac artery
2
Superior mesentericartery
3
Left gastric artery
4
Left renal vein
5
Left lobe of liver
6
Inferior vena cava
7
Left hepatic vein
8
Ligamentum venosum
9
Caudate lobe of liver
10
Hepatic artery
11
Splenic artery
12
Portal vein
13
•Findings: Abdomen plain film showspneumatosis of the ascending anddescending colon, with no evidence forgross pneumoperitoneum. Abdomen CTwith intravenous contrast showedextensive colonic pneumatosis, with nogross pneumoperitoneum. No portalvenous gas. No obvious cause for thecolonic pneumatosis