Citation, DOI and case data
Motorbike accident 60 km/hr; hypotensive at scene; RUQ tender.
Loading Stack -
0 images remaining
There is a large liver laceration extending through the majority of the right lobe (predominantly segments VII and VII also extending inferiorly into segment VI) with a moderate to large subcapsular hematoma measuring 2.5cm in width and greater than 10cm in length.
The right hepatic vein and posterior branch of the right main portal vein run into the laceration without evidence of active extravasation.
2.0 x 1.6 cm right adrenal hematoma.
Perisplenic hematoma without discrete splenic injury.
- Grade III-IV traumatic liver injury.
- Right adrenal hematoma.
- Perisplenic hematoma without obvious splenic injury.
2 case question available
The liver is a frequently injured organ in blunt abdominal organ but most often management is non-operative.
Adrenal gland can also be commonly injured but is sometimes difficult to determine whether an adrenal lesion is a contusion/hemorrhage or pre-existing. Either review prior imaging or arrange follow-up.
28 public playlist include this case
- Dont Miss by Seanthan Senthilnathan
- CT abdo starter cases by Alex Davies
- CWH 1 by Dr Naeem Ahmed
- Akut by Dr Valentinos Charalambous
- Trauma jb kl p by Mariusz Kujawa
- addome by Marco Bernhart
- Trauma abdominal by Matheus Zanon
- Trauma-P1 by tuanleminh
- trauma by Nurse Practitioner Andrea Wall
- RadioP 2020 by Dr anthony trimboli ◉
- GI 6 HB by HoangHuong
- FRCR 2B 4 by Dr Sherif Mohsen
- liver by docjabs25
- abdomen by Dr Bența Marius
- Radiographer Talk by Dr Dirk Tromp
- TRA 1 by HoangHuong
- 4 by Dr Avni K P Skandhan ◉
- IMAG5042 Module 4 by Dr Sally Ayesa ◉
- TRAUMA by Dr Aaron Ow
- 03.00 Trauma ABD by T Rees
- 03.01 Lever by T Rees
- GI1-P1 by tuanleminh
- Core Conditions 01.1 - Body Trauma 1 pre-reading by RMH Core Conditions ◈
- Abdomen by Louise Tram
- Trauma Abdomen Duplicated for Craig by Dr Andrew Dixon ◉
- ED Teaching Upper Abdominal Trauma by Dr Murray Di Loreto ◉
- Trauma ED V by LB
- CT Scans by Dr. Patrick Hills-Meyer