Extrapleural haematoma

Case contributed by Dra. Simbler, Daniela E


Fall from 3 meters high.

Patient Data

Age: 85 years
Gender: Male

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
Published: 11th Sep 2017
Last edited: 24th Sep 2017
System: Trauma, Chest
Inclusion in quiz mode: Included

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