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Abdominal wall hematoma with active bleeding

Case contributed by Assis Prof Faeze Salahshour

Presentation

Focal swelling, ecchymosis, and tenderness in RUQ, history of warfarin use

Patient Data

Age: 45 years
Gender: Female

A large hematoma with a fluid-fluid level and another smaller similar one are visible in the right anterolateral abdominal wall. At least four foci of active bleeding are visible within the larger hematoma, which increases in size on delayed images.

Annotated image

The red arrows depict the foci of the active bleeding.

Case Discussion

A fluid-fluid level within hematoma on a non-contrast CT scan could be a clue to the presence of active bleeding.

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