Renal and liver lacerations from penetrating trauma

Case contributed by RMH Core Conditions


Stab wound; right flank.

Patient Data

Age: 25 years
Gender: Male


There is a linear laceration through the segment 6 of the liver. The laceration extends medially through the upper pole of the right kidney.

There is a moderate amount of hemoperitoneum.

There is no evidence of free gas. The bowel appears normal.

The rest of the abdomen is unremarkable.

There is a moderate size right effusion. No pneumothorax is seen. Right basal consolidation/contusion.


Linear laceration through segment 6 of the liver and the upper pole of the kidney with hemoperitoneum.

This case demonstrates how the injuries from penetrating trauma (blue arrows), can be remote from the entry wound (red arrow).

Case Discussion

Surprisingly, the majority of cases of penetrating stab wounds can be managed non-operatively, with examination shown to be accurate in deciding on cases that will require operative management. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.