Hepatic contusion - importance of the arterial phase

Case contributed by Dr Chris O'Donnell

Presentation

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

Patient Data

Age: 15
Gender: Female

Arterial and portal venous phases

Modality: CT

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 haematoma.  Appearances indicate considerable contusion to the right lobe of liver that is invisible on the portal phase of the study.

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Case Information

rID: 31324
Case created: 1st Oct 2014
Last edited: 21st Nov 2015
Inclusion in quiz mode: Included

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