Intraparenchymal hepatic contusion (AAST grade II)

Case contributed by Dr Henry Knipe

Presentation

Motor vehicle collision.

Patient Data

Age: 50 years
Gender: Male

Heterogeneous area of hypoattenuation within liver segment 2 of the liver in keeping with a hepatic contusion. No active haemorrhage is identified. No parenchymal laceration, capsular or subcapsular haematoma.

Left interpolar region subcapsular haematoma with adjacent fat stranding and fluid. Small volume of perisplenic fluid.

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Case Discussion

Intraparenchymal hepatic contusions are less common injuries than lacerations or subcapsular haematomas. This contusion measured up to 4 cm, making this a AAST grade II liver injury.

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Case information

rID: 53940
Case created: 14th Jun 2017
Last edited: 13th Jul 2017
Inclusion in quiz mode: Included

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