Surgical hemostatic material

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Operated one week ago for penetrating trauma (stab wound).

Patient Data

Age: 35 years
Gender: Male
This study is a stack
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
Download
Info

There is a hyperdense collection with no enhancement in segments 5 and 6 measuring 5.5 x 5 x 4 cm (hematoma) with an adjacent area of mixed density at the site of liver resection containing fluid with small air bubbles.

Deep hepatic lacerations in segments, 5 and 7 with no major hepatic vein injury.

No free fluid is seen in the peritoneal cavity.

Subhepatic surgical drains.

Bilateral pleural effusion with bibasal atelectasis mainly on the right.

Case Discussion

In this case, a surgical hemostatic material (Surgicel®) was used by the surgeon to control bleeding during surgery and should not be confused with a gossypiboma or liver abscess.

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.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.