Liver laceration with hemorrhage from stab wound

Case contributed by Thomas Snow

Presentation

Stabbed in the right upper quadrant with 10 cm kitchen knife.

Patient Data

Age: 35 years
Gender: Male

Bleeding from the right hepatic artery, active on computerized tomographic angiography (CTA): contrast extravasates to the liver capsule, and accumulates in the portal venous phase.

DSA replicates the morphology and shows the target for embolization. 

Case Discussion

In this case, the bleeding site was obvious at DSA, but often the bleeding is intermittent, and may not be seen at DSA. With good CTA, the parent artery can be identified by its morphology and embolized to prevent repeat hemorrhage.

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