Liver laceration with hemorrhage from stab wound

Case contributed by Dr Thomas Snow

Presentation

32 year-old stabbed in RUQ with 10cm kitchen knife.

Patient Data

Age: 32
Gender: Male

Bleeding from th right hepatic artery, active on computerized tomographic angiography (CTA) and digital subtraction catheter angiography (DSA).

DSA (angiography)

DSA replicates the morphology and shows the target for embolization

Case Discussion

In this case the bleeding site was obvious at DSA, but often 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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Case information

rID: 34341
Published: 3rd Mar 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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