A 27-year-old male received multiple stabs to the left thorax, left flank and the right side of his head. On arrival at the emergency department, he had a pulse rate of 105, a blood pressure of 140/ 105 mm Hg and a Glasgow Coma Scale of 7/15. After intubation and a secondary survey, he had computed tomography (CT) scans of the head, cervical spine and torso. The CT scan of the abdomen showed a lacerated lower pole of the left kidney with extravasation of intravenous contrast. There was also a continuous track of contrast between perirenal tissue and the lumen of the descending colon (Fig. 1). The patient had two episodes of malaena soon after the completion of the CT scans.
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机译：一名27岁的男性在他的左胸部，左胁腹和头部右侧遭受了多次刺伤。到达急诊室时，他的脉搏率为105，血压为140/105 mm Hg，格拉斯哥昏迷评分为7/15。经过插管和二次检查后，他对头部，颈椎和躯干进行了计算机断层扫描（CT）扫描。腹部的CT扫描显示左肾撕裂下极，静脉造影剂溢出。肾周组织和降结肠腔之间也有连续的对比（图1）。在完成CT扫描后不久，该患者出现了两次麻痹。
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