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Case report
peer-reviewed

Isolated Renal Laceration on Point-of-care Ultrasound



Abstract

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.



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Case report
peer-reviewed

Isolated Renal Laceration on Point-of-care Ultrasound


Author Information

Madeline M. Grade Corresponding Author

Department of Emergency Medicine, Stanford University School of Medicine

Cori Poffenberger

Department of Emergency Medicine, Stanford School of Medicine

Viveta Lobo

Department of Emergency Medicine, Stanford University School of Medicine


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. N/a issued approval n/a. n/a. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Isolated Renal Laceration on Point-of-care Ultrasound


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Case report
peer-reviewed

Isolated Renal Laceration on Point-of-care Ultrasound

  • Author Information
    Madeline M. Grade Corresponding Author

    Department of Emergency Medicine, Stanford University School of Medicine

    Cori Poffenberger

    Department of Emergency Medicine, Stanford School of Medicine

    Viveta Lobo

    Department of Emergency Medicine, Stanford University School of Medicine


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. N/a issued approval n/a. n/a. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: January 25, 2018

    DOI

    10.7759/cureus.2113

    Cite this article as:

    Grade M M, Poffenberger C, Lobo V (January 25, 2018) Isolated Renal Laceration on Point-of-care Ultrasound. Cureus 10(1): e2113. doi:10.7759/cureus.2113

    Publication history

    Received by Cureus: January 10, 2018
    Peer review began: January 11, 2018
    Peer review concluded: January 20, 2018
    Published: January 25, 2018

    Copyright

    © Copyright 2018
    Grade et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

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.



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