Liver laceration in pregnancy

Case contributed by Michael P Hartung


Struck by motor vehicle.

Patient Data

Age: 35 years
Gender: Female

Grade 4 injury of the right lobe of liver with complex lacerations primarily involving segments 5 and 6 with surrounding blood products. 

Gravid uterus.

Partially imaged right rib fractures and hemothorax. 

Case Discussion

Complex laceration of the liver in the setting of pregnancy. Normally CT is avoided in pregnancy due to concerns of ionizing radiation risk for the fetus, however this cases emphasizes the importance of properly evaluating traumatic injuries with CT when necessary even in pregnant patients. 

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