Liver laceration post blunt trauma

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain

Presentation

Road traffic accident.

Patient Data

Age: 35 years
Gender: Male
ultrasound
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Info

Ultrasound examination shows liver injury and hameoperitoneum.

This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Coronal C+
arterial phase
This study is a stack
Coronal C+
delayed
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Info

Large laceration is involving posterior segments of liver. High density fluid is also seen around spleen. The portal vein appears normal. Moderate hematoma is seen around the liver.

Moderate amount of hemoperitoneum.

Minimal patchy shadowing is seen in posterior aspect of both lungs could be contusion.

Case Discussion

Post RTA marked liver laceration with hemoperitoneum. According to AAST (American Association for the Surgery of Trauma) liver injury scale grade 3-4.

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