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CT findings in renovascular injuries following abdominal trauma: a pictorial review

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Abstract

Renal vascular injuries are more devastating than parenchymal injuries alone, thus account for higher injury grade and require prompt recognition. Revised AAST organ injury scale (OIS) for renal trauma has incorporated CT-diagnosed vascular injuries into renal injury grading which includes pseudoaneurysm and arteriovenous fistula, along with addition of some new descriptors of renovascular injury. Dual-phase contrast-enhanced CT (with both arterial and venous phase) can easily pick up renovascular injuries and is the modality of choice for imaging renovascular trauma. Radiologist should be well versed with the imaging findings of renovascular injuries so that accurate injury grading can be done and further management can be planned at the earliest.

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Authors and Affiliations

  1. Department of Radiodiagnosis, Jai Prakash Narayana Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, 110029, India

    Ankita Dhiman Nair, Atin Kumar & Shivanand Gamanagatti

  2. Division of Trauma Surgery and Critical Care, Jai Prakash Narayana Apex Trauma Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India

    Amit Gupta & Subodh Kumar

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  1. Ankita Dhiman Nair
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  2. Atin Kumar
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  3. Shivanand Gamanagatti
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  5. Subodh Kumar
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Correspondence to Atin Kumar.

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Nair, A.D., Kumar, A., Gamanagatti, S. et al. CT findings in renovascular injuries following abdominal trauma: a pictorial review. Emerg Radiol 29, 595–604 (2022). https://doi.org/10.1007/s10140-022-02027-3

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  • DOI: https://doi.org/10.1007/s10140-022-02027-3

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