Extrapleural haematoma

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 ribs fractures are seen. 

Case Discussion

Extrapleural hematoma is usually caused by trauma.

It is produced by rutpure 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 ribs fractures.

The typical image finding  is a very thin hypodense line which represents the parietal pleura.

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Case information

rID: 44593
Case created: 28th Apr 2016
Last edited: 24th Sep 2017
Systems: Chest, Trauma
Inclusion in quiz mode: Included

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