Hepatic contusion - importance of the arterial phase

Case contributed by Dr Chris O'Donnell


Pedestrian hit by a four wheel drive on the right side at 80km/hr. Right upper quadrant pain.

Patient Data

Age: 15 years
Gender: Female

Arterial and portal venous phases


Gross reduction in perfusion of the right lobe of liver with normal hepatic arterial branches ie no occlusion or dissection, with "filling in" on the portal venous phase leaving only relatively minor linear defects due to parenchymal laceration or bursting. No capsular disruption or perihepatic hematoma.  Appearances indicate considerable contusion to the right lobe of liver that is invisible on the portal phase of the study.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.