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Large pre-aorto-caval haematoma, increased in size since previous study is high density on precontrast scan, shows no significant change in density on delayed images indicating no active high volume bleeding. There is a false aneurysm in the upper retroperitoneum to the right of midline.
This haematoma is contiguous with the macerated right lobe of liver and markedly compresses the IVC, measuring approximately 10.5 x 5.5 x 10.9 cm ((S 11 i44, S 9 i27). Moderate size liver subcapsular haematoma of low density.Small volume free fluid seen within the pelvis and para colic gutters. Portal vein thrombosis. Atrophic left kidney and left hydronephrosis and hydroureter to level of uretero-ilial anastamosis. Poorly functioning right kidney.
Postoperative changes including pelvic exenteration, left and right sided stoma and right subdiaphragmatic drain. No free gas seen.