Abdominal haematoma

Case contributed by RMH Core Conditions

Presentation

Post PCI for LAD.

Patient Data

Age: 84
Gender: Male
Modality: X-ray

There are a number of distended loops of small bowel present, in addition to displacement from a soft tissue mass and pelvis. No definite evidence of free gas or obstruction.

Modality: CT

Right pelvic side wall haematoma, which displaces the bladder to the left.

This is an extraperitoneal bleed, associated with tracking of blood in the anterior paravesical space and a small amount of stranding in the lateral posterior pararenal space.

Two regions demonstrate minor arterial bleeding, and the anterior superior and posterior lateral parts, almost certainly to arise from branches of the right internal iliac artery. This artery is patent proximally.

Case Discussion

Assessment of any bowel gas displacement, as well as pattern, is important on plain films. Bowel gas can be displaced for a number of reasons including haematoma, infection and malignancy. 

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Case Information

rID: 33614
Case created: 18th Jan 2015
Last edited: 31st Mar 2017
Inclusion in quiz mode: Included

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