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1案例资料1.1简要案情及临床经过某男,23岁。某日被人用拳脚致伤,伤后即感腹痛,渐重,遂就医。查体:左下腹部、腰背部片状挫伤,左肾区叩痛(+),左中下腹部轻压痛(+)。CT检查显示:左肾区可见大片状低密度影,边界不清,密度不均,左肾正常形态消失;左中下腹也可见低密度影与左肾区低密度影相连。印象:马蹄肾;左肾破裂;腹膜后积液。行保守治疗。伤后39天复查CT示:左肾体
1 case information 1.1 brief case and clinical experience of a male, 23 years old. One day was punched with fists and feet, the feeling of abdominal pain after injury, getting heavier, then medical treatment. Physical examination: left lower abdomen, back and back flaky contusion, left kidney area percussion pain (+), left lower abdomen mild tenderness (+). CT examination showed that the left renal area showed a large patchy low-density shadow with unclear boundaries and uneven density, and the normal morphology of the left kidney disappeared. The left middle and lower abdomen also showed low-density shadow connected with the low-density shadow of the left kidney area. Impression: horseshoe kidney; left kidney rupture; retroperitoneal effusion. Line conservative treatment. 39 days after injury review CT showed: left kidney