Subcapsular liver hematoma

Case contributed by RMH Core Conditions


High speed motor vehicle collision; ejected from vehicle.

Patient Data

Age: 20 years
Gender: Female

Liver (segment 7) subcapsular area, measuring 6mm in depth. It has HU density of 55, in keeping with hematoma. No overlying rib fracture.

Minimal free fluid in the pouch of Douglas.

The spleen, kidneys (apart from right superior pole cortical scar), pancreas, duodenum, GB/bile ducts adrenals have normal appearances.

The pelvic organs are normal. Bladder catheter. No free gas.

Case Discussion

This is an example of an AAST Grade 1 liver injury - it is small (< 10% of liver) and shallow (< 1 cm). 

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Case information

rID: 34255
Published: 12th Feb 2015
Last edited: 14th Aug 2019
Tag: trauma
Inclusion in quiz mode: Included

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