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March 18, 1968

Renal Trauma

Author Affiliations

From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

JAMA. 1968;203(12):1060-1061. doi:10.1001/jama.1968.03140120058014

Dr. Kook Sang Oh: This is the first Massachusetts General Hospital admission of a 17-year-old white boy who had been in excellent health until four hours prior to admission when he was kicked in the left flank and developed severe flank pain, nausea, vomiting, and gross hematuria. Physical examination showed nothing unusual except for tenseness in the left upper quadrant without re bound tenderness. Vital signs were within normal limits. Hematocrit reading was 41%, and urinalysis showed microscopic hematuria. Roentgenograms of the chest and abdomen were obtained upon admission.

Discussion  Dr. Laurence L. Robbins: Dr. Weber, what do you think is going on?Dr. Alfred L. Weber: The roentgenogram of the chest shows no evidence of rib fracture, mediastinal widening, pleural effusion, or atelectasis. The lung fields are clear. The roentgenogram of the abdomen shows a slightly dilated transverse colon and several small-bowel loops in the midabdomen and right flank.