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Abstract
Renal artery injury is an uncommon consequence of blunt abdominal trauma and probably
is often missed. We recently saw three patients with rupture of the left hemidiaphragm
associated with renal artery injury. The finding of a perinephric hematoma in a multiply
injured patient with an ipsilateral diaphragmatic rupture prompted evaluation of the
renal artery. With massive injury, the kidney may be displaced superiorly when the
diaphragm ruptures, producing injury to the ipsilateral renal artery. This association
has not been emphasized in the literature. The finding of a perinephric hematoma on
the left should prompt full evaluation of the renal arteries if seen in association
with diaphragmatic rupture.
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Article info
Publication history
Accepted:
January 10,
1989
Identification
Copyright
© 1989 Published by Elsevier Inc.
