Prominent perihepatic fat

Case contributed by Dr Jeremy Jones

Presentation

Generalised upper abdominal pain. Vomiting. Concern for perforation clinically.

Patient Data

Age: 30
Gender: Male
Modality: X-ray

Generalised low attenuation around the liver.  Non-specific bowel gas pattern.

Case Discussion

The clinical team performed this examination and were concerned that the low attenuation around the liver was gas and indicated perforation.  They requested a CT to determine the source of perforation.

In fact, it is just perihepatic fatty deposition - a CT wasn't necessary!

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Case Information

rID: 14304
Case created: 14th Jul 2011
Last edited: 16th Oct 2015
Inclusion in quiz mode: Excluded

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