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Hemoperitoneum

Case contributed by Paul Adamoli

Presentation

Bicycle accident against a fence. Performed extended focused assessment with sonography for trauma (eFAST) an hour after the accident.

Patient Data

Age: 10 years
Gender: Male

EFAST

ultrasound

Evidence of free fluid in Morrison's pouch and perisplenic space. Evidence of isoechoic fluid in the right rectovesical pouch in keeping with clotting hematoma.

Case Discussion

At laparotomy, hemoperitoneum due to a celiac trunk injury was confirmed.

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