case_images: PMC9755553_01
case_images: PMC9755553_02
case_images: computed tomography scan showing lacerated and devascularized spleen and transected left kidney (arrows)
case_images: PAMJ-43-54-g001.jpg
case_images: PMC9755553_02_PAMJ-43-54-g001.jpg
case_images: F1
case_images: After ascertaining hemodynamic stability, a decision to proceed with a CT scan of the abdomen was taken, which revealed devascularized spleen with laceration extending into the hilum (grade V), non-enhancing lower half of left kidney with laceration involving the upper, middle, and lower poles with extension into the hilum (grade V), and large perinephric hematoma (Figure 1).
case_images: three (3-D) reconstructed computed tomography images showing the extent of injuries (arrows)
case_images: PAMJ-43-54-g002.jpg
case_images: PMC9755553_02_PAMJ-43-54-g002.jpg
case_images: F2
case_images: These findings suggest Grade V injuries (shattered spleen and left kidney) (Figure 2).
case_images: follow-up computed tomography scan showing contrast leak suggestive of urinoma (arrow)
case_images: PAMJ-43-54-g003.jpg
case_images: PMC9755553_02_PAMJ-43-54-g003.jpg
case_images: F3
case_images: Follow-up and outcome: a follow-up CT scan was done after 72 hours which revealed a large perinephric urinoma, approximately 246 ccs (Figure 3), for which a double j (DJ) stenting was inserted cystoscopically.