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Renal TraumaPedro Gustavo de Rezende Teixeira email@example.com
Tue, 1 Apr 2003 18:10:09 -0300
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What about that: 28 yo male, blunt abdominal trauma (motorcicle), arrives hemodinamically normal complaining of pain in the right flank. No peritonial irritation sign. He spontaneously urinated (frank hematuria). An abdominal CT was ordered and showed a right kidney augmented in size and with a slow captation of contrast. There was no sign of parenquimal disruption or extravasation of contrast. Excretion was slow but present. The CT also showed blood clots inside the bladder and right renal pelvis. Left kindey normal on CT. What next? Angiogram? Observe? When are we supposed to order a control CT (early and late)? Best regards Pedro Gustavo R. Teixeira General Surgery Trauma Surgery Minas Gerais, Brazil