Bilateral Renal Hypoperfusion Following Motor Vehicle Accident

Journal of Investigative Medicine High Impact Case Reports
Medha JoshiVarun Malhotra

Abstract

Renal hypoperfusion noted on abdominal computed tomography (CT) scan without any underlying comorbid condition is a rare finding. Most reported cases of renal hypoperfusion have an association with an underlying cardioembolic problem, such as atrial fibrillation, endocarditis, cardiomyopathies, or artificial valve thrombi. We present a case of transient renal hypoperfusion evident on abdominal CT scan following blunt trauma. An 18-year-old male without any significant past medical history presented to the emergency department with the complaint of abdominal pain. The patient reported history of motor vehicle accident 1 week prior to his presentation. He was a front seat passenger wearing a seatbelt when the car went into a ditch. Airbags were deployed and the patient briefly lost consciousness. He presented 1 week later with complaints of generalized abdominal pain, more on the left side that started a few days after his accident, nonradiating, constant, 4/10 intensity. He denied dysuria, hematuria, groin pain, fever, chills, nausea, vomiting, abdominal pain, diarrhea, constipation, decreased oral intake, joint pain, leg swelling, or redness. He denied any medication use or any history of intravenous drug abuse. There was no re...Continue Reading

References

Jul 3, 2007·Radiologic Clinics of North America·Young Joon LeeJae Young Byun
Nov 21, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Raquel Cano AlonsoCarlos Garcia Fuentes
May 18, 2012·The Journal of Urology·Granville L LloydTristan M Nicholson
Feb 8, 2014·Polish journal of radiology·Wojciech SzmigielskiMostafa Ismail

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