Computed tomography of renal emergencies: A comprehensive diagnostic guide for radiology residents

Figure 6 Grade V renal injury. A: Axial computed tomography (CT) of the abdomen shows a shattered left kidney with foci of air and a large perinephric hematoma (white arrow); B: Coronal CT shows devascularization of the interpolar and inferior pole of the left kidney (white arrow); C: Coronal CT shows contrast blush concerning for active bleeding (white arrow). The patient was immediately taken to the interventional radiology suite; D: Left renal angiogram shows pseudoaneurysm arising from the segmental branch of the renal artery (white arrow). Note the absent perfusion of the interpolar and a part of the inferior pole regions of the left kidney (black arrow); E: Successful coil embolization of the actively bleeding renal artery branches (white arrow).