Subcapsular liver haematoma

Case contributed by RMH Core Conditions

Presentation

High speed motor vehicle collision; ejected from vehicle.

Patient Data

Age: 20 years
Gender: Female
CT

Liver (segment 7) subcapsular area, measuring 6mm in depth. It has HU density of 55, in keeping with haematoma. 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
Case created: 11th Feb 2015
Last edited: 22nd May 2017
Tag: trauma
Inclusion in quiz mode: Included

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