Case Author(s): Rusty Roberts, M.D. and Tom R. Miller, M.D., Ph.D. , 9/24/05 . Rating: #D2, #Q3

After viewing the image(s), the Full history/Diagnosis is available by using the link here or at the bottom of this page

Brief history:

An 18-year-old man who sustained a right flank gunshot wound which traversed his abdomen and lodged in his left flank one week prior to this examination. He currently has a left lower quadrant Jackson-Pratt drain which has an elevated creatinine of 10.3mg/dL. He has had normal urine output by Foley catheter.

Images:

Posterior angiographic phase

View main image(rs) in a separate viewing box

View second image(rs). Dynamic posterior images through 20 minutes

View third image(rs). Delayed posterior, anterior and bilateral lateral abdominal images

View fourth image(ct). Transaxial contrast CT at the renal level

Search for similar cases

Full history/Diagnosis is also available

Return to the Teaching File home page.

Copyright by Wash U MO