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Hepatic lacerations

Case contributed by: Dr Ahmed Abd Rabou

Presentation:

falling from the 2nd floor followed by severe right flank pain

Patient Data:

Age: 8 years old
Gender: Male
Race: Middle eastern
Modality: CT

Multiple deep linear branching hypodense lacerations are seen involving the posterior segment of right hepatic lobe with associated large hypodense subcapsular parenchymal hematoma. No evidence of contrast blush or active bleeding. Intact vascular pedicle.

Diagnosis: Liver injury Grade III

Case Discussion:

The lacerations are multiple and deep more than 3 cm. The subcapsular parenchymal hematoma shows no active contrast extravasation rendering it grade III injury.

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