Post appendectomy liver laceration

Case contributed by Ahmed Abdrabou

Presentation

Right lower quadrant pain post appendectomy

Patient Data

Age: 12 years
Gender: Female

The small and large bowels are seen displaced to the left side and the right side of the abdomen is occupied by blank area obscuring the hepatic margin. Also there is mild scoliosis with concavity to the right side likely from associated pain.

A large hematoma is seen occupying the right hypochondrial and lumbar regions displacing the adjacent bowel to the left side. An incidental finding of hepatic laceration was noted as a result of appendectomy and responsible for the hematoma.

Case Discussion

This is a case of post appendectomy liver laceration and abdominal hematoma.

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