Presentation
Pedestrian vs. car trauma.
Patient Data
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Irregular hypoattenuation with subcapsular clefts involving predominantly segments III, IVB, and V is compatible with hepatic laceration and contusion. Associated hemoperitoneum in hepatorenal recess, along with the right paracolic gutter and in the pelvis.
The gallbladder spleen, pancreas, kidneys and adrenal glands are unremarkable.
No abnormality of the bowel is identified.
There is no free gas in the abdomen. No lymph node enlargement. No pelvic fractures.
Case Discussion
Right upper quadrant injury with liver laceration/contusion and hemoperitoneum. This was considered a borderline grade III/IV according to the AAST.
The patient also had non-displaced right 6th/7th rib fractures and mild pulmonary contusion lateral segment right middle lobe, not illustrated in this case.
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