A 35-year-old male involved in a high-speed motor vehicle collision presents with hemodynamic instability and flank ecchymosis. What is the most likely retroperitoneal injury present?
Kidney injury
Pancreatic injury
Diaphragmatic rupture
Abdominal aortic injury
Flank ecchymosis, also known as Grey Turner's sign, is indicative of retroperitoneal hemorrhage, often associated with kidney injuries. Hemodynamic instability in the context of trauma further supports this diagnosis. While abdominal aortic injury, diaphragmatic rupture, and pancreatic injury are also possible, they typically present with different clinical signs and have other distinguishing features.
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