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Fig. 3 | Insights into Imaging

Fig. 3

From: Multidetector CT imaging of complications after laparoscopic nephron-sparing surgery

Fig. 3

Gross haematuria with hypotension, moderate leucocytosis and blood loss (12 g/dL haemoglobin) in a 32-year-old man shortly after L-PN for a 2.5-cm, hyperechoic RCC (sonographic image in a). Unenhanced axial CT images (a, b) showed hyperattenuating linear structures (thin arrows) corresponding to surgical sutures along the ventral renal contour, minimal fluid and blood in the ipsilateral peri-renal space and retroperitoneal fasciae (*), hyperattenuating blood (arrow) in the renal pelvis. Corticomedullary (d, e) and nephrographic (f) phase images confirmed blood (arrows) occupying most of the renal collecting system. The lack of CM extravasation indicating active bleeding allowed conservative treatment including prolonged vesical catheterisation and lavage

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