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Intercostal catheter tract through the liver

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Trauma, 4 attempts at ICC insertion for right sided pneumothorax, finally successful.

Patient Data

Age: 35 years
Gender: Female

The final intercostal catheter (ICC) position is satisfactory but there must have been a low insertion point traversing the liver introducing a small amount of free intra-peritoneal gas and producing a linear low density defect in the liver parenchyma. Fortunately there is no bleeding associated with this iatrogenic hepatic injury.

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