Liver laceration (AAST grade V)

Case contributed by Dr Henry Knipe

Presentation

Fall from height.

Patient Data

Age: 45 years
Gender: Male

Large irregular liver laceration involving all four segments of the right lobe of the liver. The laceration extends to both superior and inferior right hepatic veins, and around the right portal vein. A small contrast blush seen at the medial aspect of the laceration in segment 7, and increases in size on delayed phase imaging, consistent with active bleeding. There is a small associated subcapsular haematoma extending into the right paracolic gutter. The portal and hepatic veins remain patent. Free fluid in the pelvis is low density, likely simple fluid and unrelated. No pneumoperitoneum. No traumatic right renal or adrenal injury.

Case Discussion

Large liver laceration involving the four right lobe Couinaud segments extending to adjacent the hepatic and portal veins consistent with an AAST grade V injury.

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Case information

rID: 53939
Case created: 14th Jun 2017
Last edited: 13th Jul 2017
Inclusion in quiz mode: Included

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