Presentation
Abdominal distension and pain in right upper quadrant a few days after cholecystectomy.
Patient Data
A large, heterogenous area is noted involving the subcapsular region of the liver with resultant distortion of hepatic margins and laceration of the parenchyma. Evidence of active bleeding is seen.
A pseudoaneurysm of the right hepatic artery is seen.
Surgical changes are noted in the anterior abdominal wall.
Right-sided pleural effusion is noted.
Case Discussion
CT features are of large subcapsular hepatic hematoma along with evidence of hepatic laceration as described above.
Co-contributor: Dr. Anwar-ul-haq Zadaran.