Extrapleural hematoma

Case contributed by Dra. Simbler, Daniela E

Presentation

Fall from 3 meters high.

Patient Data

Age: 85 years
Gender: Male
CT

Non contrast CT axial, coronal and sagittal images show biconvex hematoma, which displaces the parietal pleural and the extrapleural fat.

In addition multiple rib fractures are seen. 

Case Discussion

Extrapleural hematoma is usually caused by trauma. It is produced by rupture of intercostal or internal mammary vessels. There is no interruption of the parietal pleura, which allows blood to stay in the extrapleural space. It is usually associated with rib fractures.

The observed very thin hypodense line representing the parietal pleura is a helpful imaging feature of these extrapleural collections.

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Case information

rID: 44593
Published: 11th Sep 2017
Last edited: 14th Dec 2019
System: Trauma, Chest
Inclusion in quiz mode: Included

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