Liver laceration and pancreatic trauma

Case contributed by Dr Jeremy Jones

Presentation

Restrained passenger in RTC. Abdominal bruising and tenderness. Haemodynamically stable.

Patient Data

Age: 7
Gender: Female
Modality: X-ray

No pneumothorax. No effusion. No rib fracture. Normal mediastinum. Normal lung parenchyma - no focal consolidation.

Modality: CT

Liver laceration extends throughout segments II, III and IV. No active extravasation. Associated hemoperitoneum.

Low density region in the proximal body of pancreas concerning for pancreatic injury. 

Right lobe, kidneys and spleen are normal.

Case Discussion

Liver laceration and haemoperitoneum is not challenging to detect. Review areas in children include the mesenteric root, the duodenum (looking for duodenal haematoma) and the pancreas. Pancreatic injury may be subtle.

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Case Information

rID: 45828
Case created: 9th Jun 2016
Last edited: 23rd Nov 2016
Inclusion in quiz mode: Included

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