Hepatic congestion

Case contributed by Dr Paul Simkin

Presentation

Trauma.

Patient Data

Age: 82
Gender: Male
CT

Fluid within the abdomen and pelvis is low density, keeping with ascites rather than haemoperitoneum. Heterogeneous enhancement of the liver, which appears enlarged, is suggestive of congestive hepatopathy.

No evidence of traumatic injury to the liver, spleen, pancreas or kidneys. Calcification in the pancreatic head may be due to previous pancreatitis. The adrenals, gallbladder and bladder are unremarkable. Uncomplicated sigmoid diverticulosis, otherwise the bowel has a normal appearance.

Bilateral pleural effusions, larger on the right, are associated with basal atelectasis. Cardiac enlargement is noted.

Conclusion:

Significant cardiomegaly with pleural effusions, congestive hepatopathy and ascites. 

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Case information

rID: 33560
Case created: 16th Jan 2015
Last edited: 20th Sep 2015
Inclusion in quiz mode: Included

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