Intraparenchymal hepatic contusion: AAST grade II

Case contributed by Dr Henry Knipe


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.


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: 12th Dec 2017
Inclusion in quiz mode: Included

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